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개선된 Chow 내시경적 수근관 감압술의 합병증

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Author(s)
Hee-June KimHyun-Joo LeePoong-Taek KimIn-Ho JeonHee-Soo KyungSuk-Joong LeeYoung-Soo Jung
Keimyung Author(s)
Lee, Suk Joong
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Archives of Hand and Microsurgery
Issued Date
2019
Volume
24
Issue
3
Keyword
Carpal tunnel syndromeEndoscopic carpal tunnel releaseComplications수근관 증후군내시경적 수근관 감압술합병증
Abstract
Purpose:
Endoscopic carpal tunnel release has gained popularity as a primary surgical option for carpal tunnel release. The purpose of this study was to evaluate the complication of endoscopic carpal tunnel release using modified Chow’s extrabursal dual-portal technique in a large cohort in a single center.

Methods:
Data of 2,248 wrists in 1,438 patients who underwent endoscopic carpal tunnel release by the extrabursal dual-portal technique were collected retrospectively from 2000 to 2016. Clinically, postoperative symptom was assessed, and complications were reported.

Results:
At the final follow-up, the complication rate was 2.8% including digital nerve injury and tendon injury. Except for 16 hands, the patients showed recovery from the initial symptoms.

Conclusion:
Extrabursal modified Chow’s dual-portal technique is a reliable and safe method to treat carpal tunnel syndrome with minimal complications.
목적:
본 연구의 목적은 개선된 Chow의 활액낭외 양측 입구 방법을 이용하여 수근관 감압술을 시행한 환자들의 임상결과와 합병증을 기술하고자 한다.

방법:
2000년 6월부터 2016년 12월까지 활액낭외 양측 입구 방법을 이용하여 수근관 감압술을 시행한 1,438명 2,248예를 대상으로 하였다. 임상적 결과로 수술 후 증상과 합병증을 조사하였다.

결과:
최종 추시 시 합병증은 정중신경, 굴곡건 손상 등으로 2.8%에서 발생하였으며, 16예를 제외한 모든 환자들은 수술 전 증상에서 모두 회복되었다.

결론:
개선된 Chow의 활액낭외 양측 입구 방법을 이용한 수근관 감압술은 수근관 증후군 치료에 합병증이 적은 안전한 방법이다.
Alternative Title
Complications of Modified Chow’s Two-Portal Technique in Endoscopic Carpal Tunnel Release
Keimyung Author(s)(Kor)
이석중
Publisher
School of Medicine (의과대학)
Citation
Hee-June Kim et al. (2019). 개선된 Chow 내시경적 수근관 감압술의 합병증. Archives of Hand and Microsurgery, 24(3), 218–224. doi: 10.12790/ahm.2019.24.3.218
Type
Article
ISSN
2586-3533
Source
http://www.handmicro.org/journal/view.html?uid=89&vmd=Full
DOI
10.12790/ahm.2019.24.3.218
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42446
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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