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Mini-open carpal tunnel release-without tourniquet and under local anesthesia

Year 2009, Volume: 15 Issue: 2, 23 - 26, 01.03.2009

Cemil Ertürk Günhan Karakurum Ali Murat Kalender Abdurrahman Neyal

Abstract

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Surgery is generally preferred in cases of CTS which do not respond to conservative measures. We evaluated the results and complications of patients who underwent mini open release for CTS. Mini-open carpal tunnel release was performed in 36 hands of 30 patients with CTS. There were 27 females, and 3 males, with ages ranging from 23 to 71 years, (mean age 45.6 years) Clinical and electromyographic findings were, compatible with CTS. All cases were done under local anesthesia without using a tourniquet. The mean follow-up period was 16 months, (range 10 to 20 months) The mean duration of the operation was 15 minutes (range: 10-20 minutes) No serious surgical complication has occurred. Excellent results were achieved in 32 hands (88%). Mini-open carpal tunnel release is a safe and simple procedure with satisfactory outcome.

Keywords

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References

  • 1.Karpal Tünel, Ulnar Tünel and Stenozan Tenosinovit, In: Campbell's operative orthopaedics. 10. basım Türkçe baskı. İstanbul, Hayat Tıp Kitapçılık; 2007;4:3761-78
  • 2.Szabo RM. Entrapment and compression neuropathies. ImGreen DP, Hotchkiis RN, Pederson WC. (eds) Green's Operative Surgery. Philadelphia: Churchill Livingstone, 1999;2(4): 1404-47
  • 3.Einhorn N, Leddy JP. Pitfalls of endoscopic carpal tunnel release. Orthop Clin North Am. 1996;27:373-80
  • 4.AgeeJM, McCarroll HR, Tortosa RD. Endoscopic release of the carpal tunnel: A randomized prospective multicentre study. J Hand Surg. 1992;17:987-95
  • 5.Chow JC. Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22-month clinical result. Arthroscopy. 1990;6:288-96
  • 6.Brown RA, Gelberman RH, Seiler JG. 3rd, Abrahamsson SO, Weiland AJ, Urbaniak JR, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg. 1993;7:1265-75
  • 7.Jacobsen MB, Rahme H. A prospective, randomized Study with an independent observer comparing open carpal tunnel release with endoscopic carpal tunnel release. J Hand Surg. 1996;21:202-4
  • 8.Trumble, TE, Diao E, Abrams RA, Gilbert-Anderson MM. Single-portal endoscopic carpal tunnel release compared with open release, a prospective randomized trial. J Bone Joint Surg. 2002;84(7):1107-15
  • 9.Bagatur AE. Karpal tünel sendromu cerrahisinde başarısızlık nedenleri ve revizyon sonuçları. Acta Orthop Traumatol Turc. 2002;36:346-353. lO.Agee JM, Peimer CA, Pyrek JD, Walsh WE. Endoscopic carpal tunnel release: a prospective study of complications and surgical experience. J Hand Surg. 1995;20:165-71
  • ll.Boeckstyns ME, Sorensen AI. Does endoscopic carpal tunnel release have a higher rate of complications than open carpal tunnel release? An analysis of published series. J Hand Surg. 1999;24:9-15
  • 12.Tuncay İ, Akpınar F, Tosun N, Vural S. Endoskopik karpal tünel gevşetme: Masum bir girişim mi? Açta Orthop Traumatol Turc. 2001;35:152-157
  • 13.Palmer AK, Toivonen DA. Complications of endoscopic and open carpal tunnel release. J Hand Surg. 1999;24:561-5
  • 14.Chow JC, Hantes ME, Vernon IL. Endoscopic carpal tunnel release: thirteen years experience with the Chow technique. J Hand Surg. 2002;27:1011-1018
  • 15.Wilson KM: Double incision open Technique for carpal tunnel release: an alternative to endoscopic release, J Hand Surg. 1994;19:907-12
  • 16.Bromley GS. Minimal-incision open carpal tunnel decompression. J Hand Surg. 1994;19A:119-20
  • 17.Lee WP, Strickland JW. Safe carpal tunnel release via a limited palmar incision. Plast Reconstr Surg. 1998;101:418-24
  • 18.Karakurum G, Büyükbebeci O, Güleç A, Kalender M. Pilları geçmeyen mini-palmar kesiyle karpal tünel dekompresyonu. Hacettepe Ortopedi Dergisi
  • 19.Gibson M. Outpatient carpal tunnel decompression without tourniquet: a simple local anaesthetic technique. Ann R Coll Surg. 1990;72:408-9
  • 20.Şavk ŞÖ, Turgut M, Çullu E, Akyol A, Alparslan B. Karpal tünel sendromunun cerrahi dekompresyonunda standart ve mini insizyon tekniklerinin karşılaştırılması. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2002;3(2):9-13

Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi

Year 2009, Volume: 15 Issue: 2, 23 - 26, 01.03.2009

Cemil Ertürk Günhan Karakurum Ali Murat Kalender Abdurrahman Neyal

Abstract

Karpal tünel sendromu (KTS) en sık görülen tuzak nöropatisidir. Cerrahi, genelde konservatif yöntemlerle yanıt alınamadığı olgularda tercih edilir. KTS nedeniyle mini-açık gevşetme yapılan hastalardaki sonuç ve komplikasyonlar değerlendirildi. Mini-açık karpal tünel gevşetmesi 30 KTS'li hastanın, 36 eline uygulandı. Hastaların 27'si kadın, 3'ü erkek idi (ort. yaş 45.6; dağılım 23-71). Hastaların klinik ve elektromiyografik değerlendirmeleri KTS ile,uyumlu idi. Tüm olgular lokal anestezi altında ve turnike kullanılmadan yapıldı. Ortalama takip, süresi 16 ay (dağılım 10-20 ay) idi. Ortalama operasyon süresi 15 dakika (dağılım 10-20 dakika) bulundu. Ciddi bir cerrahi komplikasyon olmadı. Otuz iki elde (%88) mükemmel sonuç alındı. Mini açık karpal tünel gevşetmesi güvenli,kolay ve tatmin edici bir girişimdir.

Keywords

Karpal tünel sendromu Cerrahi Mini açýkgevþetme Yöntemler Median sinir

References

  • 1.Karpal Tünel, Ulnar Tünel and Stenozan Tenosinovit, In: Campbell's operative orthopaedics. 10. basım Türkçe baskı. İstanbul, Hayat Tıp Kitapçılık; 2007;4:3761-78
  • 2.Szabo RM. Entrapment and compression neuropathies. ImGreen DP, Hotchkiis RN, Pederson WC. (eds) Green's Operative Surgery. Philadelphia: Churchill Livingstone, 1999;2(4): 1404-47
  • 3.Einhorn N, Leddy JP. Pitfalls of endoscopic carpal tunnel release. Orthop Clin North Am. 1996;27:373-80
  • 4.AgeeJM, McCarroll HR, Tortosa RD. Endoscopic release of the carpal tunnel: A randomized prospective multicentre study. J Hand Surg. 1992;17:987-95
  • 5.Chow JC. Endoscopic release of the carpal ligament for carpal tunnel syndrome: 22-month clinical result. Arthroscopy. 1990;6:288-96
  • 6.Brown RA, Gelberman RH, Seiler JG. 3rd, Abrahamsson SO, Weiland AJ, Urbaniak JR, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg. 1993;7:1265-75
  • 7.Jacobsen MB, Rahme H. A prospective, randomized Study with an independent observer comparing open carpal tunnel release with endoscopic carpal tunnel release. J Hand Surg. 1996;21:202-4
  • 8.Trumble, TE, Diao E, Abrams RA, Gilbert-Anderson MM. Single-portal endoscopic carpal tunnel release compared with open release, a prospective randomized trial. J Bone Joint Surg. 2002;84(7):1107-15
  • 9.Bagatur AE. Karpal tünel sendromu cerrahisinde başarısızlık nedenleri ve revizyon sonuçları. Acta Orthop Traumatol Turc. 2002;36:346-353. lO.Agee JM, Peimer CA, Pyrek JD, Walsh WE. Endoscopic carpal tunnel release: a prospective study of complications and surgical experience. J Hand Surg. 1995;20:165-71
  • ll.Boeckstyns ME, Sorensen AI. Does endoscopic carpal tunnel release have a higher rate of complications than open carpal tunnel release? An analysis of published series. J Hand Surg. 1999;24:9-15
  • 12.Tuncay İ, Akpınar F, Tosun N, Vural S. Endoskopik karpal tünel gevşetme: Masum bir girişim mi? Açta Orthop Traumatol Turc. 2001;35:152-157
  • 13.Palmer AK, Toivonen DA. Complications of endoscopic and open carpal tunnel release. J Hand Surg. 1999;24:561-5
  • 14.Chow JC, Hantes ME, Vernon IL. Endoscopic carpal tunnel release: thirteen years experience with the Chow technique. J Hand Surg. 2002;27:1011-1018
  • 15.Wilson KM: Double incision open Technique for carpal tunnel release: an alternative to endoscopic release, J Hand Surg. 1994;19:907-12
  • 16.Bromley GS. Minimal-incision open carpal tunnel decompression. J Hand Surg. 1994;19A:119-20
  • 17.Lee WP, Strickland JW. Safe carpal tunnel release via a limited palmar incision. Plast Reconstr Surg. 1998;101:418-24
  • 18.Karakurum G, Büyükbebeci O, Güleç A, Kalender M. Pilları geçmeyen mini-palmar kesiyle karpal tünel dekompresyonu. Hacettepe Ortopedi Dergisi
  • 19.Gibson M. Outpatient carpal tunnel decompression without tourniquet: a simple local anaesthetic technique. Ann R Coll Surg. 1990;72:408-9
  • 20.Şavk ŞÖ, Turgut M, Çullu E, Akyol A, Alparslan B. Karpal tünel sendromunun cerrahi dekompresyonunda standart ve mini insizyon tekniklerinin karşılaştırılması. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2002;3(2):9-13
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Cemil Ertürk This is me

Günhan Karakurum This is me

Ali Murat Kalender This is me

Abdurrahman Neyal This is me

Publication Date March 1, 2009
Published in Issue Year 2009 Volume: 15 Issue: 2

Cite

APA Ertürk, C., Karakurum, G., Kalender, A. M., Neyal, A. (2009). Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi. Gaziantep Medical Journal, 15(2), 23-26.
AMA Ertürk C, Karakurum G, Kalender AM, Neyal A. Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi. Gaziantep Medical Journal. March 2009;15(2):23-26.
Chicago Ertürk, Cemil, Günhan Karakurum, Ali Murat Kalender, and Abdurrahman Neyal. “Lokal Anestezi altında Turnikesiz yapılan Mini-açık Karpal tünel gevşetmesi”. Gaziantep Medical Journal 15, no. 2 (March 2009): 23-26.
EndNote Ertürk C, Karakurum G, Kalender AM, Neyal A (March 1, 2009) Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi. Gaziantep Medical Journal 15 2 23–26.
IEEE C. Ertürk, G. Karakurum, A. M. Kalender, and A. Neyal, “Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi”, Gaziantep Medical Journal, vol. 15, no. 2, pp. 23–26, 2009.
ISNAD Ertürk, Cemil et al. “Lokal Anestezi altında Turnikesiz yapılan Mini-açık Karpal tünel gevşetmesi”. Gaziantep Medical Journal 15/2 (March 2009), 23-26.
JAMA Ertürk C, Karakurum G, Kalender AM, Neyal A. Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi. Gaziantep Medical Journal. 2009;15:23–26.
MLA Ertürk, Cemil et al. “Lokal Anestezi altında Turnikesiz yapılan Mini-açık Karpal tünel gevşetmesi”. Gaziantep Medical Journal, vol. 15, no. 2, 2009, pp. 23-26.
Vancouver Ertürk C, Karakurum G, Kalender AM, Neyal A. Lokal anestezi altında turnikesiz yapılan mini-açık karpal tünel gevşetmesi. Gaziantep Medical Journal. 2009;15(2):23-6.