Carpal Tunnel Release Using the MANOS CTR System: Preliminary Results in 52 Patients

PurposeTo describe a carpal tunnel release technique using the MANOS Carpal Tunnel Release device, with preliminary results in 52 patients.MethodsThe MANOS Carpal Tunnel Release device is a blade that divides the transverse carpal ligament using wrist and palm skin punctures. The awake patient provides feedback as the surgeon navigates a 2.1-mm-diameter blunt probe across the undersurface of the ligament from a wrist incision with standard disposable nerve stimulator monitoring. The leading tip of the blunt probe is uninsulated and conducts 2 mA. The surgeon converts the blunt insulated probe into an uninsulated blade by advancing a 0.9-mm needle through the palm with a thumb-activated deployment feature. The surgeon saws the ligament through the 2 skin punctures. We used a validated outcome questionnaire to assess postoperative symptoms at 3 months.ResultsSymptom severity and functional status scores compare favorably with literature controls for open and endoscopic surgery at 3 months. One patient required reoperation for incomplete release. There were no tendon or nerve injuries.ConclusionsPreliminary results suggest the MANOS Carpal Tunnel Release device to be safe and effective.Type of study/level of evidenceTherapeutic IV.