Our 15-year experience of complications of Chow's technique for endoscopic carpal tunnel releasing

Our objective in this study was to summarize our 15-year experience treating carpal tunnel syndrome released with Chow technique, focusing on the complications and how to avoid them. We systematically evaluated the postoperative complications in 211 patients who underwent endoscopic carpal tunnel re...

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Bibliographic Details
Published in:Neurological research (New York) 2022-08, Vol.44 (8), p.761-765
Main Authors: Wu, Yu-xuan, Yin, He, Lin, Jia-yi, Jiang, Hua-jun, Han, Feng, Liu, Si-da, Qu, Wei
Format: Article
Language:English
Subjects:
Carpal tunnel syndrome
Chow technique
complication
endoscopic carpal tunnel release
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Summary:Our objective in this study was to summarize our 15-year experience treating carpal tunnel syndrome released with Chow technique, focusing on the complications and how to avoid them. We systematically evaluated the postoperative complications in 211 patients who underwent endoscopic carpal tunnel release (ECTR) with Chow technique. We recorded the incidence of complex regional pain syndrome type I (CRPS I), median nerve and digital nerve injury, superficial palmar arch injury, and tendon injury. The overall incidence of complications was 5.6%, and involved 10 cases of CRPS I, 1 case of median nerve trunk injury, and 1 case of superficial palmar arch injury. No other complication occurred. We used oral pregabalin and neurotropin to relieve CRPS I symptoms, and performed second operations for the other two complications. Our study revealed that ECTR could reduce structural and cutaneous complications, but increase the incidence of nerve injury. we speculated that the incidence of CRPS I may be higher in the Asian population.
ISSN:0161-6412
1743-1328
DOI:10.1080/01616412.2022.2051134