Stahl S, Shapira D
Hand Surgery Unit, Rambam Medical Center, Technion-Israel Institute of Technology, Haifa, Israel.
J Hand Surg Br. 2003 Jun;28(3):246-50. doi: 10.1016/s0266-7681(02)00363-7.
A new approach for the concomitant surgical treatment of trapeziometacarpal joint osteoarthritis and carpal tunnel syndrome through the same incision is described. The technique was used in 25 patients (20 women, five men; mean age, 56 years). At a mean follow-up of 27 months, there was complete disappearance of the symptoms of carpal tunnel syndrome in 20 of the 25 patients, incomplete but substantial relief in four patients, and no improvement in one patient. One patient had scar tenderness and another had a superficial wound infection. The surgical technique is simple, safe and cost-effective as it avoids separate operations for both pathologies. The procedure is not suitable for severe carpal tunnel syndrome or when direct visualization of the median nerve and the carpal tunnel is necessary.
本文描述了一种通过同一切口同时手术治疗第一腕掌关节骨关节炎和腕管综合征的新方法。该技术应用于25例患者（20例女性，5例男性；平均年龄56岁）。平均随访27个月时，25例患者中有20例腕管综合征症状完全消失，4例患者症状部分缓解但明显减轻，1例患者无改善。1例患者出现瘢痕压痛，另1例患者出现表浅伤口感染。该手术技术简单、安全且具有成本效益，因为它避免了对两种病变进行单独手术。该手术方法不适用于严重的腕管综合征，也不适用于需要直接观察正中神经和腕管的情况。
