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2012, Number 1

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Revista Cubana de Ortopedia y Traumatología 2012; 26 (1)

Mini-approach in the carpal tunnel surgery

Salles BGR, Cabrera VN, Álvarez PL, Marrero RLO, Figueredo DL, Salles PR

Language: Spanish
References: 19
Page: 28-39
PDF size: 174.83 Kb.


ABSTRACT

Introduction: different techniques have been used to opening of the carpal transverse ligament including the surgical, endoscopy and the mini-approach.
Objective: to show the results surgery with mini-approach using one and two incisions.
Methods: a prospective study was conducted in168 patients diagnosed with carpal tunnel syndrome. In a group (n= 90) by transverse incision of 1 cm proximal to carpal transverse ligament and in the other (n= 78) were necessary two incisions, one transverse proximal to carpal transverse ligament and the other distal to it.
Results: the postoperative assessment at 7 days in operated on using one incision was of 0 in 57 of 90, with two incisions was of 0 in 40 of 78. The patient's satisfaction after one month of surgery using one incision were satisfied 88 of 90, partial satisfaction 2 of 90; two incisions, satisfied 72 of 78 and a partial satisfaction in 5 of 78. A whole incorporation to daily activities was achieved at a postoperative week, one partial incision 80 of 90 and a total of 10 of 90; with two incisions, partial 65 of 78. Tue complications included 6 with both methods one leading and other slight with one incision and 4 slights with two incisions.
Conclusions: surgery for opening of carpal transverse ligament by means using the proposed mini-approaches allow the obtaining of results similar to that endoscopy during the first weeks and higher those obtained by open surgery with a low rate of complications.


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