A Clinical Study of the Modified Thread Carpal Tunnel Release

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures
• Carpal Tunnel Syndrome Treatment

Background:

• Thread Carpal Tunnel Release (TCTR) is recognized as a safe and effective carpal tunnel surgery.
• Cadaveric studies refined the TCTR technique, enhancing needle accuracy to preserve critical anatomical structures like the superficial palmar aponeurosis and nerves.

Purpose of the Study:

• To clinically validate the efficacy and safety of the modified TCTR procedure for carpal tunnel release.
• To compare the clinical outcomes of modified TCTR against established open and endoscopic carpal tunnel release techniques.

Main Methods:

• The modified TCTR procedure was performed on 159 hands across 116 patients.
• Patient outcomes were assessed using the Boston Carpal Tunnel Syndrome Questionnaire.
• Statistical analysis compared results with existing literature data for open and endoscopic carpal tunnel release.

Main Results:

• Modified TCTR demonstrated significant short-term improvements and superior long-term outcomes compared to open or endoscopic methods.
• The procedure successfully protected the superficial palmar aponeurosis, Berrettini branch, and common digital nerves, with no neurovascular complications.
• Patients experienced rapid symptom relief within 3-5 hours, enabling daily activities on the day of surgery and quick return to work.

Conclusions:

• The modified TCTR is a safe and effective carpal tunnel release technique.
• This minimally invasive approach reduces postoperative complications such as pillar pain and scar tenderness by minimizing injury to surrounding structures.
• The enhanced precision of the modified TCTR leads to superior clinical outcomes and patient recovery.