Carpal Tunnel Release Through Mini Transverse Approach (CTRMTA)

Issa, Abdulhamid Sayed, M.D.

Status: Completed

Conditions: Carpal Tunnel Release; Carpal Tunnel Syndrome; CTS; Carpal Tunnel Surgery; Carpal Tunnel Transverse Approach

Treatments: Procedure: Carpal tunnel release through Mini Transverse Approach

Study type: Interventional

Identifiers

NCT02766114

Sayed Issa's Approach

Details and patient eligibility

About

Carpal tunnel release through dorsal wrist crease Mini Transverse incision, about 1.5 cm length.

Full description

Carpal tunnel release through a small approach on the distal wrist crease, it is about 1.5 cm, the benefits of this technique is less surgical traumatic and more tender, it takes less time for rehabilitation, so the patient can work next day of operation, and it has very cosmetic and gentle scar in results and outcome.

Enrollment: 43 patients

Sex: All

Ages: 16 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients presented with Carpal Tunnel Syndrome refractory to conservative treatment
• Participant cooperation sufficient to operate under local anesthesia

Exclusion criteria

• Un controlled diabetes mellitus type 1 and 2
• Patients with non controlled Vascular hypertension
• Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
• Myocardial infarction, other acute cardiac event requiring hospitalization, stroke, transient ischemic attack, or treatment for acute congestive heart failure within 4 months prior to randomization
• Patients with history of Carpal Tunnel release surgery failure

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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43 participants in 1 patient group

Issa1

Experimental group

Description:

After local anesthesia, through transverse approach on the middle of dorsal wrist crease the incision is made for 1.5 cm length, then the subcutaneous fat is dissected, soon we see the the palmaris longus tendon or its connection with the carpal ligament , take the ulnar side of the palmaris longus tendon and cut the carpal ligament axillary by scalpel, not going deep with the scalpel to avoid medial nerve injury, soon we see the nerve, we use the scissors to cut the proximal part then the distal part of the carpal ligament by enclosing it between the blades of the scissors, now the full released carpal tunnel most be observed, and one stitch is enough, in this operation most be an assistant exist.

Treatment:

Procedure: Carpal tunnel release through Mini Transverse Approach