Mini-transverse incision using a novel bush-hook was more Ef
This study aimed to investigate the outcomes of a mini-transverse incision with a bush-hook versus a conventional open incision for carpal tunnel release (CTR).

In this prospective study the decision to receive either technique (mini-transverse incision with a bush-hook or conventional open incision) was primarily based on patient's choice. Patient's symptom severity, functional status, and symptomatic pain were measured at pre-operation, 1 month, and 3 and 6 months postoperatively, and any relevant complications were recorded. Kelly’s scale was used to evaluate the overall clinical efficacy.

Results:
--89 patients were included in the open CTR group and 85 patients in the mini-transverse incision group.

--The mini-transverse incision group had a significantly smaller incision, shorter surgical time and shorter hospital stay than did the open CTR group. Both groups showed significant improvements from baseline levels.

--At postoperative 1 month and 3 months, the transverse incision group showed a significantly better VAS, SSS, and FSS, but the difference was non-significant at 6 months except for FSS.

--Also, mini-transverse incision showed a significantly reduced time to return to work and activities, trend to a higher rate of excellence, and good and fewer complications than did the open CTR.

The mini-transverse incision was ultimately more effective in metrics relating to the operation, symptomatic remission, functional recovery and postoperative morbidity so that the alternative technology might be regarded as promising.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02608-x
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