Abstract:
:The aim of this study was to assess the value of using a Canaletto® implant in combination with a gel composed of carboxymethylcellulose and polyethylene oxide in the surgical treatment of recurrent carpal tunnel syndrome (CTS). The case series included 31 patients with 32 hands operated for the second time for recurrent (22 cases) or recalcitrant (9 cases) CTS by neurolysis. The average patient age was 62 years. Dynavisc® gel alone was applied around the median nerve in the first 16 cases (Group I). The Canaletto® implant combined with Dynavisc® gel was used in the last 16 cases (group II). With an average follow up of 8 months (for group I) and 11 months (for group II), the pre/postoperative variation in pain assessed with a visual analog scale was 1.38/10 (group I) and 2.04/10 (group II), the QuickDASH score was 20.1/100 (Group I) and 20.48/100 (Group II), grip strength was 8% (Group I) and 20% (Group II), sensory nerve conduction speed was 23.20 m/s (group I) and 15.51 m/s (group II) and distal motor latency was 1.55 m/s (group I) and 1.21 m/s (group II). Ten patients recovered from hypoesthesia in both groups, 6 patients in group I and 2 patients in group II regained good trophicity of their superficial thenar muscles. Two patients from group II had not improved clinically although their electromyography had become normal. One patient from group II suffered a postoperative infection that required removal of the Canaletto® implant. He subsequently improved slightly. Our study found that for recurrent or recalcitrant CTS, the combination of Dynavisc® anti-adhesion gel around the median nerve and a Canaletto implant® after neurolysis results in outcomes that are as good as Dynavisc® alone, with a significant improvement of the QuickDASH score without the Canaletto®. In conclusion, the use of Dynavisc® gel alone around the median nerve after neurolysis seems to be as effective as other techniques described in literature but less invasive or time-consuming, and not associated with donor site morbidity such as the flexor tendon sheath.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Boumediane M,Meyer N,Facca S,Pizza C,Liverneaux Pdoi
10.1016/j.hansur.2020.10.005subject
Has Abstractpub_date
2021-02-01 00:00:00pages
57-63issue
1eissn
2468-1229issn
2468-1210pii
S2468-1229(20)30221-8journal_volume
40pub_type
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2017.02.005
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.04.003
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.013
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.08.013
更新日期:2021-01-19 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.01.005
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.02.007
更新日期:2020-09-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.08.008
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.003
更新日期:2016-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.11.003
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.05.007
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.03.002
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abstract::The aim of the study was to assess the natural history of untreated flexor pollicis longus (FPL) tendon rupture in patients with rheumatoid arthritis (RA). We reviewed a cohort of patients to assess the long-term effect of conservative management. We reviewed nine of 11 consecutive patients. We assessed objective outc...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.08.002
更新日期:2020-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.01.002
更新日期:2016-04-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.01.003
更新日期:2018-04-01 00:00:00
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.02.005
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.007
更新日期:2016-12-01 00:00:00