A 10-center RCT comparing single-portal endoscopic carpal tunnel release (using a trigger-activated blade device with fiberoptic visualization) to conventional open surgery in 122 patients (147 procedures), asking whether limiting soft-tissue disruption to the transverse carpal ligament alone reduces postoperative morbidity and accelerates return to function.
This study helped establish endoscopic carpal tunnel release as a viable alternative to open surgery, particularly for patients prioritizing faster return to work, while highlighting the need for careful technique to avoid incomplete release and ulnar nerve injury.
A 10-center RCT comparing single-portal endoscopic carpal tunnel release (using a trigger-activated blade device with fiberoptic visualization) to conventional open surgery in 122 patients (147 procedures), asking whether limiting soft-tissue disruption to the transverse carpal ligament alone reduces postoperative morbidity and accelerates return to function.
This study helped establish endoscopic carpal tunnel release as a viable alternative to open surgery, particularly for patients prioritizing faster return to work, while highlighting the need for careful technique to avoid incomplete release and ulnar nerve injury.