Ramírez LEA, Cuenca-Pardo J, Martínez M. Chávez J, Corral MA

Language: Spanish
References: 17
Page: 100-103
PDF size: 67.18 Kb.

ABSTRACT

The objective of study, is to comment on the experience obtained by operating on patients with carpal tunnel syndrome with minimal incisions and with a Striker luminous knife. We operated on 25 patients with carpal tunnel syndrome; 18 female and 7 male one or both hands involved, operating a total of 48 hands. Twelve had neuropraxia and 13 axonotmesis. An incision 1.5 cm long was made on the distal edge of the carpal ligament and the Striker luminous knife was used, to make the ligament resection. Five points were evaluated: pain, muscular force, sleep, manual skill and sensitivity. The time that it took them to go back to their occupational activity, was 3 to 12 weeks with an average of 5.36. After 3 months we found 13 patients at 5 points (excellent), 9 patients at 4 points (good) and 3 at 3 points (regular). There was a transoperatory complication in the section of the palmar arch, which was repaired with a microsurgical technique having a satisfactory evolution and the patient was evaluated at 5 points. The release of the carpal tunnel, using minimal incisions and the Striker luminous knife, is a procedure that is not exempt of complications, however once mastered, the technique, turns out to be a simple procedure, of great usefulness in the treatment of patients with carpal tunnel syndrome.

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