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Incomplete release of the TCL with persistent or recurrent CTS symptoms is the most frequent complication attributed to endoscopic carpal tunnel release surgery. Recurrent CTS develops in 7% to 20% of surgical cases. [42] The problem is difficult to address, and revision surgery is less successful than primary carpal tunnel release surgery. [43]
The primary benefit of endoscopic releases versus traditional open carpal tunnel release is often perceived to be the smaller incision size. ECTR incisions are commonly less than 1 cm (0.39 in) compared to a 2–4 in (51–102 mm) longitudinal incision with a traditional carpal tunnel release.
Nerve decompressions are still a relatively new surgery, however a picture emerges from looking at the outcomes of some of the most studied nerve decompressions: carpal tunnel release, sciatic nerve decompression, and migraine surgery. Even within these commonly performed surgeries, the measurement of outcomes is not always standardized.
Traditional carpal tunnel release surgery involves a 1-inch incision on the hand to access the ligament causing pressure on the median nerve, which many patients opt for sedation to get through ...
Each year, doctors perform 400,000 to 600,000 carpal tunnel release surgeries — one type of surgery used to treat the condition — making this one of the most common upper-extremity procedures.
Carpal tunnel syndrome operation. Release of the transverse carpal ligament is undertaken in carpal tunnel surgery. The purpose of cutting the transverse carpal ligament is to relieve pressure on the median nerve, and this is a type of nerve decompression surgery.