|
Back to 2017 Scientific Program ePosters
Endoscopic Carpal Tunnel Release Refined: Techniques to Improve Safety and Efficiency
Olga Bachilo, MD; Surjit Singh Rai, MD; Pablo Padilla, MS; Ellen Tran, MS; Andrew Y. Zhang, MD
University of Texas Medical Branch, Galveston, TX
Hypothesis: Carpal tunnel syndrome remains the most commonly diagnosed nerve compression syndrome. Carpal tunnel release is the most commonly performed hand operation. The purpose of this study was to detail endoscopic carpal tunnel release technical points to improve the safety, efficiency and effectiveness of the surgery as well as to review our own outcomes utilizing these techniques.
Methods: A total of 142 endoscopic carpal tunnel releases were performed on 112 patients by a single surgeon over a three-year period. All procedures were performed using the MicroAire SmartReleaseŽ endoscopic carpal tunnel release system and following the same surgical technique. A retrospective chart review was done to evaluate outcomes such as procedure time, tourniquet time, conversion to an open release, complications, and resolution of symptoms and quickDASH.
Results: The average operative time was 17 minutes. The average tourniquet time was 13 minutes. The percentage of patients that had complete resolution of their carpal tunnel syndrome symptoms at two weeks was 72%. There were no major complications. The rate of minor complications was 3.5% and all were treated on an outpatient basis. Four cases were converted to open, a rate of 2.8%. The average quick DASH is 25.6, a reduction of 26.9 points at two weeks post-operatively.
Summary: Single port carpal tunnel release technique has a record of safety and efficiency. Our modifications outlined in this study improve upon this record, making it even safer and more efficient.
Back to 2017 Scientific Program ePosters
|
