Results of the treatment of 24 Cases of Carpal Tunnel with Modified Classical Technique

Introduction & Many of the Carpal Tunnel Syndrome (CTS) patients have sever median nerve involvement at the time of admission. Some of the CTS Patients complain about symptoms in ulnar nerve territory; some of recurrence of symptoms after Carpal canal release. The aim of this article is the presentation of a new surgical technique and its result in the CTS patients. In this study 24 patients and 36 CTS hands were operated upon by the new technique and their results were evaluated before and 6 months after their surgery. Median nerve involvement was bilateral in 50%, RT side in 33% and LT side in 17% of the patients. 62.5% of the patients were categorized in the sever type. Using Michigan's hand questionnaire, significant improvement occurred in hand Function. Only in one patients scar tenderness was continued, in majority of patients, preoperative symptoms were subsided after six months after the operation. Most of the CTS patient's who are upon operated have sever median nerve involvement. The use of incision in the modified classical technique enables neurolysis more proximally. Carpal tunnel roof reconstruction by Z plasty or flexor retinaculum flap, provided better median nerve gliding and lessen's symptom recurrence and the need for reoperation. The use of modified classical technique is safe and effective in CTS patient's surgical treatment.