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Conexiant chevron_right Orthopedic Medicine chevron_right MiniIncision Carpal Tunnel Release Speeds Early Recovery vs Open Surgery
From the Journals

Mini-Incision Carpal Tunnel Release Speeds Early Recovery vs Open Surgery

Randomized trial found less early pain and better function with mini-incision approach, with some advantages persisting at 2 months

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  • Faster early recovery: Mini-incision release was associated with lower pain and better function within the first month after surgery.
  • Shorter operative time and smaller incision: The ProMIS technique reduced operative time (~14 vs ~22 minutes) and incision length, which may improve efficiency and soft-tissue recovery.
  • Similar short-term safety: No major complications or reoperations were reported in either group over 2 months, though the study was not powered for rare events.
  • Differences diminish but do not fully disappear: By 2 months, outcomes converged overall, but some measures (pain, PRWE, grip strength, 2-PD) still favored mini-incision release.
  • Interpret with caution: Lack of blinding, baseline imbalances in patient-reported outcomes, multiple comparisons, and short follow-up limit conclusions about long-term superiority.

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