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[Translated article] Percutaneous ultrasound-guided section of the transverse carpal ligament vs. open surgery for the surgical treatment of carpal tunnel syndrome (CTS).
Castro-Menéndez, M; Balvís-Balvís, P; Oiartzabal-Alberdi, I; Ferradás-García, L; González-Rodríguez, E; Yañez-Calvo, J.
Afiliación
  • Castro-Menéndez M; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain. Electronic address: manuel.castro.menendez@sergas.es.
  • Balvís-Balvís P; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
  • Oiartzabal-Alberdi I; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
  • Ferradás-García L; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
  • González-Rodríguez E; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
  • Yañez-Calvo J; Unidad de Miembro Superior, Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
Rev Esp Cir Ortop Traumatol ; 67(4): T297-T308, 2023.
Article en En, Es | MEDLINE | ID: mdl-36863516
BACKGROUND AND OBJECTIVE: The gold standard of carpal tunnel syndrome (CTS) treatment is the section of the transverse carpal ligament, the most common technique being the palmar cutaneous incision. Percutaneous techniques have been developed, although their risk/benefit ratio remains controversial. OBJECTIVE: To analyse the functional outcome of patients undergoing CTS percutaneously ultrasound-guided and compare it with those of open surgery. MATERIAL AND METHOD: Prospective observational cohort study of 50 patients undergoing CTS (25 percutaneous with WALANT technique and 25 by open surgery with local anaesthesia and tourniquet). Open surgery was performed using a short palmar incision. The percutaneous technique was performed anterograde using the Kemis H3® scalpel (Newclip). A preoperative and postoperative assessment was performed at 2 weeks, 6 weeks and 3 months. Demographic data, presence of complications, grip strength and Levine test score (BCTQ) were collected. RESULTS: The sample consists of 14 men and 36 women with a mean age of 51.4 years (95% CI: 48.4-54.5). Percutaneous technique was performed anterograde using the Kemis H3® scalpel (Newclip). All patients improved from their CTS clinic without obtaining statistically significant differences in BCTQ score, nor in the presence of complications (p>0.05). Patients operated on percutaneously recovered faster grip strength at 6 weeks, but it was similar in the final review. CONCLUSIONS: In view of the results obtained, percutaneous ultrasound-guided surgery is a good alternative for the surgical treatment of CTS. Logically, this technique requires its learning curve and familiarisation with the ultrasound visualisation of the anatomical structures to be treated.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2023 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2023 Tipo del documento: Article Pais de publicación: España