Feinstein P A
Department of Orthopedic Surgery, Wilkes-Barre General Hospital, Pa.
J Hand Surg Am. 1993 May;18(3):451-4. doi: 10.1016/0363-5023(93)90090-P.
A retrospective analysis of 61 endoscopic carpal tunnel releases was performed. The surgical technique adhered strictly to the Inside Job protocol, as recommended between August and October of 1990. The objective was to provide a baseline for expected results and complications in a community practice setting. Results were rated excellent in 37 cases, good in 11, and poor in 4. Nine patients were not available for follow-up. Decreased postoperative morbidity and a more rapid return to work were found with endoscopic carpal tunnel release. The contribution of pillar pain, scar tenderness, pinch and grip weakness, and persistent numbness to good and poor outcomes were analyzed. One patient required repair of the median nerve. Another patient underwent conventional carpal tunnel release 1 year after the endoscopic procedure. Endoscopic carpal tunnel release promises to reduce morbidity. The results do not justify continued use of the Inside Job device described when conventional release is used as the standard for comparison.
对61例内镜下腕管松解术进行了回顾性分析。手术技术严格遵循1990年8月至10月间推荐的“内业”方案。目的是为社区实践环境中的预期结果和并发症提供基线。结果评为优37例，良11例，差4例。9例患者无法进行随访。内镜下腕管松解术可降低术后发病率，并能更快恢复工作。分析了支柱疼痛、瘢痕压痛、捏力和握力减弱以及持续麻木对预后好坏的影响。1例患者需要修复正中神经。另1例患者在内镜手术后1年接受了传统腕管松解术。内镜下腕管松解术有望降低发病率。当以传统松解术作为比较标准时，结果并不证明继续使用所描述的“内业”装置是合理的。
