'INSIGHT-PRECISION': a new, mini-invasive technique for the surgical treatment of carpal tunnel syndrome. Issue 1 (January 2020)

• Record Type: Journal Article
• Authors: Carmo, José Dinis
• Is Part Of: Journal of international medical research. Volume 48:Issue 1(2020)
• Publication Date: 2020-01
• Subjects: Carpal tunnel -- carpal tunnel release -- endoscopic carpal tunnel release -- transverse carpal ligament -- flexor retinaculum -- median neuropathy -- insight-precision; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060519878082
• Languages: English
• ISSNs: 0300-0605

Abstract

Objective: To describe a new mini-invasive surgical technique for carpal tunnel release and to present clinical findings associated with using this technique. Methods: Patients with idiopathic carpal tunnel syndrome without prior surgical treatment, who underwent a new minimally-invasive surgical technique using a specific surgical tool-kit developed by the author, were included. Prospective data were collected, including preoperative electrodiagnostic testing. The subjective condition of all patients was evaluated pre- and postoperatively with a five-level Likert-type scale (LS) and muscular strength was tested using a JAMAR dynamometer and pinch gauge. Results: A total of 116 patients (157 hands/cases) underwent surgery performed by the author, and were followed for a mean of 40 months (range, 6 months–7 years). Of these, preoperative electrodiagnostic testing was performed in 112 patients (96.6%). No significant complications were reported. By three months, patients reported that they were satisfied or very satisfied in 147/149 cases (98.7%; LS grade I and II). Strength recovery at three months, based on the average of four measures, was 99.17% (range, 97.43–100.97%). Conclusions: The described technique is minimally invasive, safe and simple to perform, and provides good results.