Nouvelle procédure d'écho-chirurgie du syndrome du canal carpien : cohorte rétrospective de 602 patients

Abstract : Aim of the study : To evaluate the early efficacy and safety of a new carpal tunnel syndrome surgery procedure under ultrasound control. Patients and methods: An observational study on a retrospective, mono-centric cohort from 2014 to 2017 was performed in the outpatient surgery department of the Belledone clinic in Grenoble. All patients with severe idiopathic carpal tunnel syndrome with surgical indication were included. Grip strength and acroparesthesia were investigated in pre- and postoperative at one month and complications. Results : 602 patients (including 385 women) were included. At one month, the initial strength recovery rate averaged 87% [± 0.4]. The disappearance of acroparesthesia was found in 596 patients (99%). Healing was perfect in 579 patients (96.2%). 33 patients (5.8%) suffered pain with EVA> 5 at one month of surgery. We found 43 minor complications (7.1%) and five serious complications (0.8%) Conclusion : Our study shows the early efficacy and safety of this surgical procedure with ultrasound. It confirms the growing interest of ultrasound in carpal tunnel syndrome surgery. Early postoperative recovery and the reduced surgical procedure allows for a reduction in health costs. The interest of ultrasound in surgery does not stop with carpal tunnel syndrome, new indications are developing particularly in the surgery of the upper limb.
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Master Thesis
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Julien Hillion. Nouvelle procédure d'écho-chirurgie du syndrome du canal carpien : cohorte rétrospective de 602 patients. Médecine humaine et pathologie. 2019. ⟨dumas-02112339⟩

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