Introduction: The objective of this clinical study was to investigate the potential benefits for complications (Adherence of the flexor tendons and severing scarring involving the median nerve. of using the Collagen Layershield as an adhesion barrier following mini open carpal tunnel release.)
Methods: Retrospective patient data was used. The study cohort (collagen matrix ) consisted of consecutive patients (100 patients) who were treated with Tutopatch.. Patients underwent carpal tunnel surgery same technique in both groups and completed follow-up evaluations at no less than 6 to 12 months post-operation.
Results: Numbness and paresthesias were relieved in 89% DG group and 86% in Control Group; pain was relieved in 89% DG and 82% CG. Motoric Weknes was relieved in 95% DG and 88% CG. Normal grip strength was found in 93% DG and 91% had normal pinch strength. The difference in re-opration rate between the collagen matrix group and the standard procedure group is statiscally significant (P<0.01).
Conclusions: Findings in this study (reduced pain and lower incidence of adhesions) are consistent with the Collagen Matrix acting as an effective adhesion barrier by preventing median nerve adhesions
Patient Care: With these layer you can avoid clinical Symptoms
Learning Objectives: 1. -anatomy of the carpal tunnel is essential
in order to avoid complication and to ensure
optimal patient outcome.
2. -. Nerve conduction studies ( NCS ). Have
potentially great value in selecting patients for
a specific treatment and in objectively
assessing the efficacy of treatment in Carpal
tunnel Syndrome.Release of the transverse
carpal ligament
3. Evaluete if the duragen play a rol in order
to avoid scar tissue and adhesion involving
the median nerve after decompression in
carpal tunnel syndrome