Open Carpal Tunnel Release

Description

The video features Dr. Doretti Fufa, a Hand and Reconstructive Surgeon at the Hospital for Special Surgery, presenting a detailed demonstration of the operative management of carpal tunnel syndrome through open carpal tunnel release. Dr. Fufa outlines the procedure's clinical setting, discussing the positioning of the patient, which is typically supine with the operative arm positioned on a hand table. Various methods of anesthesia are explored, with Dr. Fufa favoring a combination of local anesthetics administered at specific sites to ensure patient comfort during the procedure. Key anatomical landmarks such as Kaplan's cardinal line and the hamate hook are highlighted for skin marking prior to incision.



The dissection process is demonstrated step-by-step, focusing on the superficial and deep layers, and emphasizing the importance of careful incision techniques to avoid nerve damage. Throughout the procedure, Dr. Fufa explains various techniques for excising the transverse carpal ligament while navigating surrounding structures to ensure complete decompression of the median nerve, which is critical in alleviating symptoms associated with carpal tunnel syndrome.



Finally, the video concludes with a description of the wound closure technique using horizontal mattress sutures and care instructions for post-operative management, emphasizing the importance of a bandage to protect the incision site. This comprehensive guide aims to educate viewers on both the surgical procedure and the necessary pre-operative and post-operative considerations.

Specialties