Directly Visualized Carpal Tunnel Release via a Proximal Mini-Transverse Incision: Surgical Technique and Clinical...

Area of Science:

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

Background:

• Traditional carpal tunnel release methods (open, mini-open, endoscopic) have associated complications.
• A need exists for safer and more effective surgical interventions for carpal tunnel syndrome.

Purpose of the Study:

• To introduce a novel minimally invasive technique for carpal tunnel release using direct visualization.
• To evaluate the surgical outcomes and efficacy of this new technique.

Main Methods:

• Seventy-five patients with carpal tunnel syndrome underwent carpal tunnel release via proximal mini-transverse incisions.
• Patient-reported outcomes were assessed using Turkish versions of Quick-DASH, Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ), and Visual Analog Scale (VAS).
• Grip strength was measured preoperatively and postoperatively.

Main Results:

• Significant improvements in VAS and Quick-DASH scores were observed by the three-month follow-up.
• Both components of the BCTSQ (Symptom Severity Scale and Functional Status Scale) showed significant improvement.
• Grip strength increased, and all patient-reported outcome measures continued to improve at final follow-up.
• No intraoperative or postoperative complications were reported.

Conclusions:

• Directly visualized carpal tunnel release via proximal mini-transverse incision is a safe and effective treatment option.
• This technique offers high patient satisfaction, enhanced grip strength, and a low complication rate for moderate to severe carpal tunnel syndrome.
• The procedure represents a viable alternative to existing surgical methods for carpal tunnel syndrome.