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Journal of Hand Surgery (British and European Volume)
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Articles

A Randomized Controlled Trial of Knifelight and Open Carpal Tunnel Release

R. BHATTACHARYA
P.D. BIRDSALL
P. FINN
J. STOTHARD

From the Department of Trauma and Orthopaedic Surgery, Middlesbrough General Hospital, Ayresome Green Lane, Middlesbrough, TS5 5AZ, UK

Correspondence: Prof. J. Stothard, MD, FRCS, Consultant and Lead Clinician, Department of Trauma and Orthopaedics, Middlesbrough General Hospital, Ayresome Green Lane, Middlesbrough, TS5 5AZ, UK. Tel.: +44-1642-854120; fax: +44-1642-854375; E-mail: lorrainesidgwick{at}hotmail.com

A randomized controlled trial was done to compare the results of carpal tunnel decompression using the standard open approach and the Knifelight® technique. Twenty-six patients with bilateral carpal tunnel syndrome requiring operation were selected for the study and the operative technique was randomized for the first hand. Six weeks later, the second hand was operated upon using the alternate technique. There was little difference between the two techniques with regard to time taken to return to work, return of grip strength, symptom relief, complications, incidence of pillar pain and patient preference. However, the incidence of scar tenderness was significantly lower with the Knifelight® technique.

Key Words: carpal tunnel • knifelight • randomised controlled trial

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 2, 113-115 (2004)
DOI: 10.1016/j.jhsb.2003.09.001
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