Carpal Tunnel Release Through Mini Transverse Approach

Not Applicable

Completed

• Conditions: Carpal Tunnel Syndrome; CTS; Carpal Tunnel Release; Carpal Tunnel Transverse Approach; Carpal Tunnel Surgery
• Interventions: Procedure: Carpal tunnel release through Mini Transverse Approach

• Registration Number: NCT02766114
• Lead Sponsor: Issa, Abdulhamid Sayed, M.D.

Brief Summary

Carpal tunnel release through dorsal wrist crease Mini Transverse incision, about 1.5 cm length.

Detailed Description

Carpal tunnel release through a small approach on the distal wrist crease, it is about 1.5 cm, the benefits of this technique is less surgical traumatic and more tender, it takes less time for rehabilitation, so the patient can work next day of operation, and it has very cosmetic and gentle scar in results and outcome.

Study Timeline

• Study Start: 2013-02
• Primary Completion: 2016-03
• Study Completion: 2016-03
• Status Verified: 2016-05
• Study First Submitted: 2016-05-04
• Study First Submitted QC: 2016-05-06
• Last Update Submitted: 2016-05-06
• Study First Posted: 2016-05-09
• Last Update Posted: 2016-05-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

• Patients presented with Carpal Tunnel Syndrome refractory to conservative treatment
• Participant cooperation sufficient to operate under local anesthesia

Exclusion Criteria

• Un controlled diabetes mellitus type 1 and 2
• Patients with non controlled Vascular hypertension
• Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
• Myocardial infarction, other acute cardiac event requiring hospitalization, stroke, transient ischemic attack, or treatment for acute congestive heart failure within 4 months prior to randomization
• Patients with history of Carpal Tunnel release surgery failure

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Issa1	Carpal tunnel release through Mini Transverse Approach	After local anesthesia, through transverse approach on the middle of dorsal wrist crease the incision is made for 1.5 cm length, then the subcutaneous fat is dissected, soon we see the the palmaris longus tendon or its connection with the carpal ligament , take the ulnar side of the palmaris longus tendon and cut the carpal ligament axillary by scalpel, not going deep with the scalpel to avoid medial nerve injury, soon we see the nerve, we use the scissors to cut the proximal part then the distal part of the carpal ligament by enclosing it between the blades of the scissors, now the full released carpal tunnel most be observed, and one stitch is enough, in this operation most be an assistant exist.

Primary Outcome Measures

Name	Time	Method
Proportion of patients with post surgical trauma	Up to eight weeks

Secondary Outcome Measures

Name	Time	Method
Proportion of patients with cosmetic scar	Up to 6 months
Duration of rehabilitation period	Up to three weeks

Trial Locations

Locations (1)

Dr. Sayed Issa's Clinic; 🇸🇾 Aleppo, Syrian Arab Republic