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The Dilemma of Treating Carpal Tunnel Syndrome: Open Versus Endoscopic Release

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Minimally Invasive Techniques for Neurosurgery

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Summary

A comparative evaluation of the open and endoscopic treatment of carpal tunnel syndrome is undertaken using a systematic technology assessment which examines safety, efficacy, effectiveness and economical cost-benefit analysis based on cited references. According to this the endoscopic method is encumbered with a higher complication rate and, since several studies also show that the time for return to work is not reduced by shorter incisions, with higher costs.

Furthermore, the results of a controlled study are presented in which different incision lengths (4.5 and 2.5 cm) for the open method are compared and subsequently contrasted with an endoscopic control group [1]. With the exception of weaker grip strength for the long incision in the third postoperative week no significant differences were found.

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References

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Authors
  1. P. Brüser
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  2. G. Larkin
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Editor information

Editors and Affiliations

  1. Zentrum für Operative Medizin I, Klinikum der Universität Marburg, Baldingerstraße 35, 35043, Marburg, Germany

    Dieter Hellwig  & Bernhard L. Bauer  & 

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© 1998 Springer-Verlag Berlin Heidelberg

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Brüser, P., Larkin, G. (1998). The Dilemma of Treating Carpal Tunnel Syndrome: Open Versus Endoscopic Release. In: Hellwig, D., Bauer, B.L. (eds) Minimally Invasive Techniques for Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58731-3_28

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  • DOI: https://doi.org/10.1007/978-3-642-58731-3_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63701-8

  • Online ISBN: 978-3-642-58731-3

  • eBook Packages: Springer Book Archive

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