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112806

Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Carpal tunnel syndrome [CTS] is the commonest entrapment neuropathy of the upper limb. Different treatment modalities [conservative and surgical] are present. Each has its advantages and disadvantages. No consensus is found about the ideal surgical treatment modality.
Aim of the work: To introduce an innovative use of swivel knife with mini-transverse incision in median nerve release. Also to compare the study results' to the conventional approach.
Patients and methods:  Seventy patients included in the study. All had confirmed diagnosis of CTS and scheduled for surgical treatment. The new technique using theSwivel Knife has operated on 35 patients [study group] and the traditional technique was done for 35 patients [control group]. All patients have been assessed clinically and by neuro-physiological studies [preoperatively, and at 3 months postoperatively]. Both groups were compared regarding patient demographics and all preoperative data.
Results: Significant postoperative findings were superior in the study group. Results in the study group showed a reduction of operative time, incision length, Levine score and pain score at 3 months [0.23±0.43 vs 0.89±1.21 respectively, p < 0.05]. In addition, study group was associated with higher safety and patient satisfaction.
Conclusion: Introduction of swivel knife with mini-transverse incision just proximal to distal wrist crease is an effective and safe. This technique could be promising alternative option for surgical treatment of CTS.

DOI

10.21608/ijma.2020.36429.1149

Keywords

Swivel Knife, Mini-transverse, Median nerve, Carpal tunnel syndrome, Neurophysiological

Authors

First Name

Mahmoud

Last Name

Amin

MiddleName

Ahmed

Affiliation

Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

mahmoudplastic1968@gmail.com

City

Damietta

Orcid

-

First Name

Sherief M.

Last Name

Al shazly

MiddleName

-

Affiliation

Department of Neurology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

sheriefshazly15@domazhermedicine.edu.eg

City

Banha

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-07-19

Publish Date

2020-10-01

Page Start

690

Page End

697

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 690-697.pdf

PDF . 2.6MB

Link

https://ijma.journals.ekb.eg/article_112806.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=112806

Order

2

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"

Details

Type

Article

Created At

22 Jan 2023