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Carpal tunnel syndrome operations are the most frequently
performed operations in hand surgery.
Their incidence in France is about 100 to 120,000
operations per year. After very large access slits
in the 1960s, scars have gradually become smaller,
leading to less discomfort due to healing problems.
The 1990s saw the development of Chow and Agee's
endoscopic techniques which proved to be valid treatment
techniques by improving post-operative strength,
speed of recovery and avoided leaving a scar on
the palm of the hand.
Some people still support retinaculum plastics techniques,
stressing the interest in respecting transverse
ligament continuity, mainly to conserve the flexor
tendons' first pulley.
Each of these techniques can nonetheless result
in a certain percentage of complications and recurrences,
and their costs are mainly due to the length of
post-operative sick leave.
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