Dual-portal endoscopic release of the transverse ligament in carpal tunnel syndrome: results of 411 procedures with special reference to technique, efficacy, and complications.

摘要: OBJECTIVE: Endoscopic release of carpal tunnel syndrome is still under debate. The main advantages the technique are considered to be minor postoperative pain and a more rapid recovery. Disadvantages thought impossibility direct median nerve neurolysis higher surgical complication rate, including injury nerve. METHODS: results 411 consecutive endoscopic procedures performed between March 1995 September 2004 presented. All patients were prospectively followed. RESULTS: In present series, success rate 98.05% was observed. There no permanent morbidity and, in particular, there four (0.97%) patients, preoperative symptoms did not improve. two (0.49%) these an incomplete ligament occurred. another (0.97%), switch open surgery required. CONCLUSION: data prove that safe reliable for surgery. do support current discussion risk with Thus, our group, represents therapy choice primary idiopathic syndrome.