Endoscopic carpal tunnel release. Two-portal technique

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures
• Hand Surgery

Background:

• Carpal ligament release is a common surgical procedure.
• Endoscopic techniques offer potential advantages over open surgery.
• Understanding the nuances of the two-portal method is crucial for optimal outcomes.

Purpose of the Study:

• To provide a comprehensive overview of the two-portal endoscopic carpal ligament release.
• To detail the surgical technique, including patient selection and complication avoidance.
• To present clinical results from a large patient cohort.

Main Methods:

• Review of historical perspectives and indications/contraindications.
• Description of operating room setup and operative technique.
• Detailed explanation of the ligament cutting technique and complication management.
• Analysis of clinical results from 815 patients (1154 wrists).

Main Results:

• The article outlines the complete surgical procedure for two-portal endoscopic carpal ligament release.
• Potential complications and their avoidance strategies are discussed.
• Clinical results from a substantial number of patients and wrists are presented.

Conclusions:

• The two-portal endoscopic carpal ligament release is a well-described technique.
• Careful attention to technique and complication management is essential.
• The study provides valuable clinical data on the efficacy of this procedure.