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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2005 December;56(6):489-95

language: English, Italian

Carpal tunnel surgical release with Indiana Tome technique

Piscopo A., Palmieri M., Lamanna M., Di Palma F., Zanchini F.

First Department of Orthopedics and Traumatology Faculty of Medicine and Surgery Second University of Naples, Naples, Italy


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Aim. Among the various surgical acts, performed in day surgery at the Department of Orthopadics of the Second University of Naples, carpal tunnel surgical release represents the most frequent surgical intervention. For several years we performed a more or less large open surgical technique for decompression of the median nerve at the wrist. The aim of this study is to present the minimal invasive surgical technique by Strickland, and report the first results of our case series.
Methods. From March 1998 until April 2001 we performed carpal tunnel releases using the Indiana Tome technique in accordance with Strickland’s principles by means of palmar access. One-hundred and thirty-six patients were operated, 130 female and 6 male, for a total of 150 decompressions. In 14 cases the operation was bilateral. The patients’ ages ranged from 24 to 66 years. This study was performed in the first 80 patients operated.
Results. In 2 cases we found lesion of the median nerve (digital sensitive branch bound for 1st and 2nd finger in the first case, and 2nd and 3rd finger in the second case). A female patient had a light form of algodystrophy of the hand, resolved in about 2 months. Two male patients, with persisting finger paresthesia, were operated another time by means of a traditional surgical technique.
Conclusion. Little tissue trauma for minimal access, quick postoperative course, early return of patients to everyday life are the reason we use this technique in accordance with Strickl-and’s principles.

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