| Distal One Incision Technique & Efficiency of Local Anesthesia in the Open Carpal Tunnel Release |
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Won Yong Lee, Byeong Mun Park, Kyeong Sup Song, Dae Eui Im, Hyung Gyu Kim, Chang Hoon Seong, Jae Hyung Cho |
| 수근관 증후군의 관혈적 감압술에서 원위부 단일 절개 및 국소 마취의 유용성 |
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이원용, 박병문, 송경섭, 임대의, 김형규, 성창훈, 조재형 |
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| Abstract |
Purpose
We designed the distal one incision technique, that was minimal one incision decompression of open carpal tunnel release, and clinically evaluated postoperative recovery of symptom and sign. Simultaneously we statistically analyzed the anesthetic pain and anxiety, pain during surgery and overall satisfaction with anesthesia of the two groups between local anesthesia and brachial plexus block for distal one incision technique to reestablish the efficiency of local anesthesia in the case of minimal decompression of carpal tunnel syndrome. Materials and Methods : Authors reviewed 20 patients who were diagnosed as both CTS, followed up over 12 months period after open decompression with distal one incision technique, at the Department of Orthopedic Surgery, Kwang Myung Sung-Ae General Hospital from March 2001 to February 2003. The technical results was evaluated postoperatively with clinical recovery of symptom and sign periodically. For the anesthetic comparision between the local anesthesia and brachial plexus block, two methods was applied to each hand of one patient using Visual Analogue Scale to evalute two groups based on operating time, anesthetic pain and anxiety, pain during surgery and overall satisfaction of anesthesia. Results: After distal one incision technique, the preoperative pain was markedly reduced at the postoperative 2nd week ( 89.2 %), and the case with remained pain was fully recovered at the time of one year-follow up. but, the number of patients of paresthesia was slowly reduced that follow literally reported manner ( one yearfollow up ; 75.8 %). There was no significant difference between those two groups (p<0.05) about the anesthetic methods. Conclusion: The clinical results about distal one incision technique was not so different compared with the classical open decompression. but the incisional scar pain and pillar pain was markedly reduced. Moreover, the advantage of the out patient treatment and technical conveniency was more useful than other procedure. The local anesthesia for minimal open decompression of CTS was concluded as a great anesthetic method in the aspect of anesthetic convenience, safety, operating time, unnecessity on admission and economic cost. |
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