TRANSVERSE CARPAL LIGAMENT RECONSTRUCTION IN SURGERY FOR CARPAL-TUNNEL SYNDROME - A NEW TECHNIQUE

被引：44

作者：

JAKAB, E

GANOS, D

COOK, FW

机构：

[1] Department of Surgery, McLaren General Hospital, Flint, Michigan

[2] Department of Orthopedic Surgery, Medical College of Ohio, Toledo, Ohio

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 02期

关键词：

D O I：

10.1016/S0363-5023(10)80097-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We present a two-year follow-up of a technique to reconstruct the transverse carpal ligament in surgery for carpal tunnel syndrome. The transverse carpal ligament is exposed through a four to five centimeter palmar incision in line with the axis of the ring finger. The ligament is divided in step-wise fashion, creating a distal radially-based flap and a proximal ulnarly-based flap. The apices of these flaps are approximated, lengthening the ligament six to ten millimeters. All seventy-three patients (one hundred-four hands) reported substantial improvement with 93% having complete resolution of symptoms. Ninety-seven percent returned to work (average disability, two months). There were no recurrences or significant operative complications. In those with unilateral reconstruction (60%), there was no diminution in grip strength (p < 0.05). This technique of transverse carpal ligament reconstruction stabilizes the transverse carpal arch, provides protection to the median nerve, prevents bowstringing of the flexor tendons, and maximizes postoperative grip strength.

引用

页码：202 / 206

页数：5

共 22 条

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