Author(s)

Massamba Miabaou Didace^1*, Boukassa Léon¹, Lamini Norbert², Massouama Régis³, Monka Marius³, Ondélé Ngatsé⁴, Bileckot Richard⁵, Ntsiba Honoré²

¹Multipurpose Surgery Department, Brazzaville University Hospital, Brazzaville, Congo.
²Rheumatology Department, CHU Brazzaville, Brazzaville, Congo.
³Department of Traumatology-Orthopedics, University Hospital of Brazzaville, Brazzaville, Congo.
⁴Anesthesia-Resuscitation Department, University Hospital of Brazzaville, Brazzaville, Congo.
⁵Functional Rehabilitation Department, Brazzaville University Hospital, Brazzaville, Congo.

Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication.

Neurolysis, Median Nerve, Carpal Tunnel, Mini-Open Technique

Didace, M. , Léon, B. , Norbert, L. , Régis, M. , Marius, M. , Ngatsé, O. , Richard, B. and Honoré, N. (2017) Neurolysis of the Median Nerve to the Carpal Canal by the Way Mini-Open: Review of 68 Files at Brazzaville University Hospital. Surgical Science, 8, 510-518. doi: 10.4236/ss.2017.812057.