Carpal Tunnel Release Through Mini Transverse Approach

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

Detailed Description
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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.

Official Title
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Carpal Tunnel Release Through Mini Transverse Approach

Conditions
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Carpal Tunnel Syndrome, Carpal Tunnel Release, Carpal Tunnel Surgery, Carpal Tunnel Transverse Approach, CTS

Intervention / Treatment
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* Procedure: Carpal tunnel release through Mini Transverse Approach


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Issa1<br>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. | Procedure: Carpal tunnel release through Mini Transverse Approach<br>* Carpal tunnel release through a transverse cosmetic small incision over the distal wrist crease.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients with post surgical trauma |  | Up to eight weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of rehabilitation period |  | Up to three weeks | 
| Proportion of patients with cosmetic scar |  | Up to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CTS, Carpal tunnel syndrome, Carpal tunnel release, Mini incision of carpal tunnel release, Cosmetic surgery of carpal tunnel syndrome, endoscopic carpal tunnel surgery, Carpal Tunnel Release Through Mini Transverse Approach, Dr. Sayed Issa's Approach, CTRMTA, OCTR, ECTR, Open Carpal Tunnel Release, Endoscopic Carpal Tunnel Release, Syria, Cosmetic, Safety, Rehabilitation,, Complications, Surgery, Satisfaction