Endoscopic Carpal Tunnel Release: One-Portal Technique

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures
• Hand Surgery

Background:

• Carpal tunnel syndrome (CTS) is a common condition causing hand pain and numbness.
• Traditional open carpal tunnel release involves a larger incision with associated pain and recovery time.
• The 1-portal endoscopic technique presents an alternative surgical approach for CTS.

Purpose of the Study:

• To evaluate the outcomes of the 1-portal endoscopic carpal tunnel release.
• To compare the 1-portal technique with open carpal tunnel release regarding patient recovery and surgical parameters.

Main Methods:

• The 1-portal endoscopic carpal tunnel release is performed under general anesthesia with local anesthetic for the incision.
• An endoscope is used to visualize and incise the carpal ligament.
• The procedure involves a small incision, endoscopic visualization, ligament release, and wound closure.

Main Results:

• The 1-portal technique results in a smaller, less tender incision compared to open release.
• Patients report reduced postoperative pain and a decreased need for analgesics.
• Earlier return to daily activities and work is observed with the endoscopic approach.

Conclusions:

• The 1-portal endoscopic carpal tunnel release is associated with improved patient comfort and faster functional recovery.
• This technique is suitable for primary CTS release in patients fit for general anesthesia.
• Careful technique and patient selection are crucial to minimize risks such as nerve injury.