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Carpal Tunnel Release Via Two Small Incisions Comparing With Via Standard Incision And Under Endoscope

Carpal Tunnel Release With Partial Excision of the Flexor Retinaculum Through Two Small Incisions

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02500355
Acronym
CTR
Enrollment
220
Registered
2015-07-16
Start date
2010-01-31
Completion date
2013-02-28
Last updated
2015-07-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carpal Tunnel Syndrome

Brief summary

Carpal Tunnel Release via Two Small Incisions Comparing With via Standard Incision And Under Endoscope.

Detailed description

Carpal tunnel syndrome (CTS) affects over 60 million people worldwide. If a regimen of conservative management has failed, surgical release of the median nerve is warranted. Numerous approaches for carpal tunnel release have been described that range from an open technique to a limited incision to endoscopic release. In addition, partial excision of the flexor retinaculum is advocated by some surgeons because of obtaining better outcomes. However, the procedure is difficult to be accomplished through small incisions owing to poor visualization. Currently, balance of incision, visualization, and partial excision of the flexor retinaculum is still controversial. The objective of this report is to introduce carpal tunnel release with partial excision of the flexor retinaculum through two small incisions. The procedures were performed under lighted head magnifier. This is the first report on the use of our technique. For comparison, the investigators also included two other groups of standard open carpal tunnel release with partial excision of the flexor retinaculum and endoscopic carpal tunnel release without excision of the flexor retinaculum.

Interventions

PROCEDURECarpal Tunnel Release via limited approaches

Carpal tunnel release with partial excision of the flexor retinaculum via two small incisions.

PROCEDURECarpal Tunnel Release via standard approach

Carpal tunnel release with partial excision of the flexor retinaculum via the standard incision.

Carpal tunnel release under endoscope.

DEVICEendoscope or an arthroscopic device

Sponsors

The Second Hospital of Qinhuangdao
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 68 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of CTR was established based on Evidence for Surgical Treatment issued by the British Society for Surgery of the Hand (2003) * Patients with moderate, severe, and very severe symptom.

Exclusion criteria

* Mild symptom. * Finding had a ganglion based on preoperative ultrasound. * Associated with infection, gout, or diabetes. * Patients who discontinued intervention and lost to follow-up.

Design outcomes

Primary

MeasureTime frame
Severity of symptoms and functional status on Boston Questionnaire2 years

Secondary

MeasureTime frame
Grip strength2 years

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026