Introduction: A thorough knowledge of the anatomy of the carpal tunnel is essential in order to avoid complication and to ensure optimal patient outcome. There are many strong arguments for open (Short Incision 3 cm) vs conservative treatment. 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 can be performed safely under local anesthetic.
Methods: Study Objective
The objective of this retrospective 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.)Materials and 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: 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: better postoperative recovery
Learning Objectives: Fisical Barrier help you to avoid complications