Karlsson M K, Lindau T, Hagberg L
Department of Orthopaedics, Malmö University Hospital, Lund University, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1997 Mar;31(1):65-9. doi: 10.3109/02844319709010507.
It has been suggested that the new (and controversial) endoscopic techniques are more successful than standard operation for the preservation of the ligamentous pulley function across the carpal tunnel and for the separation of the gliding structures from the subcutaneous tissues after release of the carpal ligament in carpal tunnel syndrome. We therefore decided to study the possible importance of preserving the continuity of the carpal ligament by doing an open lengthening of the ligament. This retrospective, unrandomised study included 99 patients with carpal tunnel syndrome who underwent open release of the carpal tunnel with or without a simultaneous lengthening of the transverse carpal ligament. The duration of follow up ranged from 4-8 years. The group who had the ligament lengthened had significantly longer sick leave (p < 0.01) than the group who had transverse ligament section alone. There were no advantages to reconstruction of the transverse ligament.
有人认为，新的（且有争议的）内镜技术在保留腕管韧带滑车功能以及在腕管综合征中松解腕韧带后将滑动结构与皮下组织分离方面比标准手术更成功。因此，我们决定通过对韧带进行开放性延长来研究保留腕韧带连续性的潜在重要性。这项回顾性、非随机研究纳入了99例接受腕管开放性松解术（伴或不伴同时延长腕横韧带）的腕管综合征患者。随访时间为4至8年。韧带延长组的病假时间显著长于仅行腕横韧带切断术的组（p < 0.01）。重建腕横韧带并无益处。
