39-218

Abordaje corto palmar vs dispositivo Knifelight. Estudio prospectivo comparativo en el tratamiento quirúrgico del síndrome del túnel del carpo

Short palmar approach versus Knifelight device. Comparative, prostpective study surgical treatment for carpal tunnel syndrome.

J. SANZ REIG, D. SIERRA VILLAFAFILA, A. LIZAUR UTRILLA. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL GENERAL DE ELDA. ALICANTE
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

The aim of the study was to compare the short palmar
approach (SPA) with the Knifelight device for the surgery
of the idiopathic carpal tunnel syndrome in 70 women. Data
collected preoperatively included demographics, physical
examination and electromyography (EM). All the cases were
assessed 12 months after surgery and data regarding clinical
outcome, physical exam, work reincorporation and complications
were recorded. There were no differences between the
two study groups as for preoperative data. Clinical outcome
and work reincorporation was similar. There was two delayed
wound closure ¡n the SPA group, and painful scar was present
in one case of each group. In conclusión, the use of the
Knifelight device offers no advantage compared with SPA for
the treatment of thp carpal tunnel syndrome

Palabras clave (ES):

túnel
Síndrome
del
carpo
Nervio
mediano
Knifelight
Dispositivo
Férula
Ortesis
Palmar
Corto
Abordaje
Tratamiento
quirúrgico
Liberación

Resumen (EN)

The aim of the study was to compare the short palmar
approach (SPA) with the Knifelight device for the surgery
of the idiopathic carpal tunnel syndrome in 70 women. Data
collected preoperatively included demographics, physical
examination and electromyography (EM). All the cases were
assessed 12 months after surgery and data regarding clinical
outcome, physical exam, work reincorporation and complications
were recorded. There were no differences between the
two study groups as for preoperative data. Clinical outcome
and work reincorporation was similar. There was two delayed
wound closure ¡n the SPA group, and painful scar was present
in one case of each group. In conclusión, the use of the
Knifelight device offers no advantage compared with SPA for
the treatment of thp carpal tunnel syndrome

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