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Comparison of postoperative outcomes after mini-incision carpal tunnel release procedures: a randomized controlled trial between local anesthesia with tourniquet (LT) and wide-awake local anesthesia with no tourniquet (WALANT) technique

Comparison of postoperative outcomes after mini-incision carpal tunnel release procedures: a randomized controlled trial between local anesthesia with tourniquet (LT) and wide-awake local anesthesia with no tourniquet (WALANT) technique

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250213002
Enrollment
58
Registered
2025-02-13
Start date
2023-01-17
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Carpal tunnel syndrome CTS CTR carpal tunnel surgery carpal tunnel syndrome WALANT tourniquet mini incision

Interventions

After patient preparation, a tourniquet cuff is applied to the upper arm. Following sterilization of the surgical wrist area, the tourniquet is inflated to 200 mmHg to control bleeding. Before the inc
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
local anesthesia with tourniquet (LT) technique in mini incision carpal tunnel release,wide-awake local anesthesia with no tourniquet (WALANT) technique in mini incision carpal tunnel release

Sponsors

The Royal College of Orthopaedic Surgeon of Thailand
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Age >18 years 2. Diagnosis with carpal tunnel syndrome by EMG with moderate to severe result 3. Able to visit for follow up and assess at least 12 weeks post operatively

Exclusion criteria

Exclusion criteria: 1. Presence of nerve compression in other areas of the upper limb 2. Received steroid injection for carpal tunnel syndrome treatment two months before surgery 3. Recurrent carpal tunnel syndrome after previous surgery 4. Patients unable to provide history, complete questionnaires, or those who refuse to participate in the study

Design outcomes

Primary

MeasureTime frame
Post operative symptom at 12 weeks after end of the intervention Symptom Severity Scale of Boston Carpal Tunnel Syndrome Questionnaire (Thai ver.)

Secondary

MeasureTime frame
Post operative function at 12 weeks after end of the intervention Functional Status Scale of Boston Carpal Tunnel Syndrome Questionnaire (Thai ver.),Pain score immediate post operation Visual analogue scale (VAS) score,Operative time immediate post operation Operative time

Countries

Thailand

Contacts

Public ContactRachata Oanuruk

Orthopaedics Department, King Chulalongkorn Memorial Hospital

rachata.o@outlook.com022564510

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026