Hamed A Rami, Makki Daoud, Chari Raymond, Packer Greg
of Orthopedics, Southend University Hospital, Westcliff-on-sea, Essex, United Kingdom.
Orthopedics. 2009 Oct;32(10). doi: 10.3928/01477447-20090818-14.
A prospective, randomized, controlled trial was performed comparing the double incision technique to the conventional open method used in carpal tunnel decompression surgery, with pillar pain, scar sensitivity, and recovery of grip strength each assessed independently. Forty patients (40 hands) were operated on, 21 hands with the standard single-incision technique and 19 hands with the double-incision technique. Patients were assessed throughout 6 months of follow-up. The results showed that the double-incision technique caused less pillar pain and scar sensitivity compared to the single-incision technique. No difference in recovery of grip strength was noted between the 2 techniques. The limited open technique using the double incision in carpal tunnel decompression surgery is advantageous over the standard technique in tackling scar-related morbidities.
进行了一项前瞻性、随机对照试验，比较双切口技术与腕管减压手术中使用的传统开放方法，分别独立评估柱部疼痛、瘢痕敏感性和握力恢复情况。对40例患者（40只手）进行了手术，21只手采用标准单切口技术，19只手采用双切口技术。对患者进行了为期6个月的随访评估。结果显示，与单切口技术相比，双切口技术引起的柱部疼痛和瘢痕敏感性更低。两种技术在握力恢复方面没有差异。在腕管减压手术中使用双切口的有限开放技术在处理与瘢痕相关的并发症方面比标准技术更具优势。
