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Hand Surg Rehabil ; 36(6): 402-404, 2017 12.
Article in English | MEDLINE | ID: mdl-29051049

ABSTRACT

There are no published studies on the management of carpal tunnel syndrome (CTS) patients who have already been operated for recurrent CTS on the contralateral side. The aim of this study was to evaluate 13 patients with CTS who underwent primary release using a Canaletto® implant. The 13 patients had all been operated for recurrent CTS previously. On the contralateral side, they all had subjective signs, and two of them already had complications. All were operated with the Canaletto® implant according to Duché's technique, in a mean of 20minutes. After a mean 19.3-month follow-up, paresthesia, pain, and QuickDASH scores were significantly improved, even in one patient who underwent revision at another facility. This preliminary study suggests that use of a Canaletto® implant as first-line treatment for CTS in patients who already underwent revision surgery on the other side is a simple and safe technique, without worsening of symptoms. These findings should be assessed with a prospective randomized controlled trial.


Subject(s)
Carpal Tunnel Syndrome/surgery , Prostheses and Implants , Adult , Aged , Disability Evaluation , Electromyography , Female , Follow-Up Studies , Hand Strength , Humans , Male , Middle Aged , Orthopedic Procedures/methods , Recurrence , Visual Analog Scale
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