NCT02500355

Carpal Tunnel Release Via Two Small Incisions Comparing With Via Standard Incision And Under Endoscope

Carpal Tunnel Release With Partial Excision of the Flexor Retinaculum Through Two Small Incisions

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 220 (actual)
• Sponsor: The Second Hospital of Qinhuangdao · Academic / Other
• Sex: All
• Age: 18 Years – 68 Years
• Healthy volunteers: Not accepted

Summary

Carpal Tunnel Release via Two Small Incisions Comparing With via Standard Incision And Under Endoscope.

Detailed description

Carpal tunnel syndrome (CTS) affects over 60 million people worldwide. If a regimen of conservative management has failed, surgical release of the median nerve is warranted. Numerous approaches for carpal tunnel release have been described that range from an open technique to a limited incision to endoscopic release. In addition, partial excision of the flexor retinaculum is advocated by some surgeons because of obtaining better outcomes. However, the procedure is difficult to be accomplished through small incisions owing to poor visualization. Currently, balance of incision, visualization, and partial excision of the flexor retinaculum is still controversial. The objective of this report is to introduce carpal tunnel release with partial excision of the flexor retinaculum through two small incisions. The procedures were performed under lighted head magnifier. This is the first report on the use of our technique. For comparison, the investigators also included two other groups of standard open carpal tunnel release with partial excision of the flexor retinaculum and endoscopic carpal tunnel release without excision of the flexor retinaculum.

Conditions

• Carpal Tunnel Syndrome

Interventions

Type	Name	Description
PROCEDURE	Carpal Tunnel Release via limited approaches	Carpal tunnel release with partial excision of the flexor retinaculum via two small incisions.
PROCEDURE	Carpal Tunnel Release via standard approach	Carpal tunnel release with partial excision of the flexor retinaculum via the standard incision.
PROCEDURE	Endoscopic Carpal Tunnel Release	Carpal tunnel release under endoscope.
DEVICE	endoscope or an arthroscopic device

Timeline

• Start date: 2010-01-01
• Primary completion: 2013-02-01
• Completion: 2013-02-01
• First posted: 2015-07-16
• Last updated: 2015-07-16

Locations

1 site across 1 country: China