The Simonetta technique for Carpal Tunnel Syndrome: immediate postoperative evaluation and long-term comparative study.

OMAR FAOUR MARTÍN, MIGUEL ÁNGEL MARTÍN FERRERO, JOSE ANTONIO VALVERDE GARCÍA, AURELIO VEGA CASTRILLO, PATRICIA ZUIL ACOSTA, JAVIER ALARCÓN GARCÍA, MARIA ANGELES DE LA RED GALLEGO

Abstract


Abstract

Aim: Carpal tunnel release by opening the flexor retinaculum is considered a satisfactory treatment. However, in some patients, all the symptoms are not resolved. The objective of our study is to compare two surgical techniques.

Material and methods: We have carried out a clinical, electromyographic and dynamometric evaluation of more than a hundred patients that received surgical treatment for Carpal Tunnel Syndrome, in a comparative analysis of the techniques used four weeks and ten years after surgery. Transverse ligament lengthening according to the Simonetta technique and mini-open decompression of the median nerve with an entire section of transverse ligament were compared.

Results: The Simonetta technique, in the immediate postoperative period as well as ten years after surgery, contributes to better results of manual function and grip strength, with a higher presence of numbness and tingling than decompression with complete section of the flexor retinaculum.

Conclusion: The technique of Simonetta is a surgical option to be considered in those patients affected by a mild to moderate carpal tunnel syndrome than require manual effort for daily activities.

Level of evidence: Level II

 

Keywords

Median nerve, surgery, results


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