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Metacarpal Small Incision for Carpal Tunnel Syndrome
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Minimally invasive carpal tunnel decompression using the KnifeLight: How I Do It.
Shi Qing Lee1, Peter Y K Hwang2
1Department of Neurosurgery, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. shiqing.lee@mohh.com.sg.
Acta Neurochirurgica
|November 25, 2020
Summary
Carpal tunnel release can be performed using the KnifeLight instrument, an alternative to traditional open or endoscopic methods. This technique offers a simple and efficient approach for carpal tunnel decompression.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Carpal tunnel decompression is a common surgical procedure.
- Traditional methods include open and endoscopic carpal tunnel release.
- The KnifeLight instrument offers an alternative approach established in 2000.
Purpose of the Study:
- To describe the KnifeLight instrument as an alternative method for carpal tunnel decompression.
- To highlight the benefits of this alternative technique.
Main Methods:
- The KnifeLight instrument features a cutting blade between two blunt tips with an integrated light source.
- Transillumination through tissues aids in locating the blade.
- The instrument is inserted through an incision in the wrist crease to divide the transverse carpal ligament.
Main Results:
- The KnifeLight instrument facilitates carpal tunnel release.
- Transillumination aids in precise blade placement and ligament division.
Conclusions:
- The KnifeLight instrument provides a simple, efficient, and reproducible method for carpal tunnel decompression.
- This technique represents a viable alternative to conventional surgical approaches.

