MINIMALLY INVASIVE CARPAL TUNNEL DECOMPRESSION USING THE KNIFE - LIGHT pdf

1

MINIMALLY INVASIVE CARPAL TUNNEL DECOMPRESSION

USING THE KNIFE - LIGHT

Dr. Voõ Vaên Taâm - Dr. Trònh Xuaân Leâ

Chôï Raãy Hospital

OBJECTIVES

Carpal tunnel syndrome is a common disorder of hand syndrome are pain,

dysfunction, and parenthesis.

Three different surgical techniques to treat :

- The conventional open approach.

- The multior single-port endoscopic approach.

- And the limited palmer incision approach.

Recently a minimally invasive approach was introduced to decompress the

carpal tunnel using the knife - light.

METHODS

Between August 2005 and April 2007 one hundred consecutive patients with

clinical signs and symptoms, as well as EMG finding consistent with carpal tunnel

syndrome.

Postoperative evaluations were scheduled at one week, one months, three

months and six months after the procedure. Follow up, evaluations with use of

quantitative measurements of grift strength, pinch strength.

RESULTS

2 patients : Pathology of compression on nerve at cervical root.

2 patients : Thickness of membrane of the folded tendons.

All patients were able to use their hands immediately after the surgery. Scar

tenderness and incision pain were moderate in the first two weeks.

CONCLUSION

Excellent functional outcomes and satisfaction were achieved using the knife –

light for carpal tunnel decompression. Our minimally invasive method often a quick,

easy, and effective alternative to conventional or endoscopic carpal tunnel

decompression.

Caution : Pathology of compression on nerve at cervical root.