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

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: T...

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Autores principales:	Mahmoud Amin, Sherief M. Al shazly
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	swivel knife mini-transverse median nerve carpal tunnel syndrome neurophysiological Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3266d88598604eab86202c6c9cbfca1b
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spelling	oai:doaj.org-article:3266d88598604eab86202c6c9cbfca1b2021-12-02T14:02:00ZMini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"2636-41742682-378010.21608/ijma.2020.36429.1149https://doaj.org/article/3266d88598604eab86202c6c9cbfca1b2020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_112806_4677844322e92453dfb5d262362d8096.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mahmoud AminSherief M. Al shazlyAl-Azhar University, Faculty of Medicine (Damietta)articleswivel knifemini-transversemedian nervecarpal tunnel syndromeneurophysiologicalMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 690-697 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	swivel knife mini-transverse median nerve carpal tunnel syndrome neurophysiological Medicine (General) R5-920
spellingShingle	swivel knife mini-transverse median nerve carpal tunnel syndrome neurophysiological Medicine (General) R5-920 Mahmoud Amin Sherief M. Al shazly Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
description	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.
format	article
author	Mahmoud Amin Sherief M. Al shazly
author_facet	Mahmoud Amin Sherief M. Al shazly
author_sort	Mahmoud Amin
title	Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
title_short	Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
title_full	Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
title_fullStr	Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
title_full_unstemmed	Mini-transverse Incision using Swivel Knife for Treatment of Carpal Tunnel Syndrome: An innovative Idea and Preliminary Report "Amin’s technique"
title_sort	mini-transverse incision using swivel knife for treatment of carpal tunnel syndrome: an innovative idea and preliminary report "amin’s technique"
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/3266d88598604eab86202c6c9cbfca1b
work_keys_str_mv	AT mahmoudamin minitransverseincisionusingswivelknifefortreatmentofcarpaltunnelsyndromeaninnovativeideaandpreliminaryreportaminstechnique AT sheriefmalshazly minitransverseincisionusingswivelknifefortreatmentofcarpaltunnelsyndromeaninnovativeideaandpreliminaryreportaminstechnique
_version_	1718392071716339712

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

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