Advanced

Endoscopic carpal tunnel release: prospective assessment of 255 consecutive cases

Atroshi, Isam LU ; Johnsson, Ragnar LU and Ornstein, E (1997) In Journal of Hand Surgery, European Volume 22(1). p.42-47
Abstract
A prospective study was conducted to evaluate the efficacy and safety of two-portal endoscopic carpal tunnel release. Two hundred and fifty-five consecutive hands (204 patients) were operated on by one surgeon using general or regional anaesthesia in the first 48 hands and local anaesthesia in the following 207 hands. The patients were evaluated preoperatively and 3 and 6 months postoperatively by an independent examiner. At the 6-month follow-up, 83% reported complete relief of symptoms and 89% were satisfied with the results of surgery. The median time until return to work was 17 days. Complications included five postoperative digital neurapraxias, all occurring under general or regional anaesthesia, and four open reoperations due to... (More)
A prospective study was conducted to evaluate the efficacy and safety of two-portal endoscopic carpal tunnel release. Two hundred and fifty-five consecutive hands (204 patients) were operated on by one surgeon using general or regional anaesthesia in the first 48 hands and local anaesthesia in the following 207 hands. The patients were evaluated preoperatively and 3 and 6 months postoperatively by an independent examiner. At the 6-month follow-up, 83% reported complete relief of symptoms and 89% were satisfied with the results of surgery. The median time until return to work was 17 days. Complications included five postoperative digital neurapraxias, all occurring under general or regional anaesthesia, and four open reoperations due to persistent symptoms. Two-portal endoscopic carpal tunnel release can be effective and safe and appears to shorten the time until return to work. The use of local anaesthesia might be important in avoiding neurological complications. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery, European Volume
volume
22
issue
1
pages
42 - 47
publisher
SAGE Publications
external identifiers
  • scopus:0031055788
ISSN
2043-6289
DOI
10.1016/S0266-7681(97)80013-7
language
English
LU publication?
yes
id
0b020cd9-4642-49e2-8489-66382d0b43c3 (old id 1296472)
date added to LUP
2009-07-31 13:42:40
date last changed
2017-01-01 04:22:26
@article{0b020cd9-4642-49e2-8489-66382d0b43c3,
  abstract     = {A prospective study was conducted to evaluate the efficacy and safety of two-portal endoscopic carpal tunnel release. Two hundred and fifty-five consecutive hands (204 patients) were operated on by one surgeon using general or regional anaesthesia in the first 48 hands and local anaesthesia in the following 207 hands. The patients were evaluated preoperatively and 3 and 6 months postoperatively by an independent examiner. At the 6-month follow-up, 83% reported complete relief of symptoms and 89% were satisfied with the results of surgery. The median time until return to work was 17 days. Complications included five postoperative digital neurapraxias, all occurring under general or regional anaesthesia, and four open reoperations due to persistent symptoms. Two-portal endoscopic carpal tunnel release can be effective and safe and appears to shorten the time until return to work. The use of local anaesthesia might be important in avoiding neurological complications.},
  author       = {Atroshi, Isam and Johnsson, Ragnar and Ornstein, E},
  issn         = {2043-6289},
  language     = {eng},
  number       = {1},
  pages        = {42--47},
  publisher    = {SAGE Publications},
  series       = {Journal of Hand Surgery, European Volume},
  title        = {Endoscopic carpal tunnel release: prospective assessment of 255 consecutive cases},
  url          = {http://dx.doi.org/10.1016/S0266-7681(97)80013-7},
  volume       = {22},
  year         = {1997},
}