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Reply to: Clinical outcomes following neurolysis and porcine collagen extracellular matrix wrapping of scarred nerves in revision carpal tunnel decompression

Published:October 18, 2022DOI:https://doi.org/10.1016/j.bjps.2022.10.034
      In their article, the authors report very encouraging results from the use of a synthetic interface in carpal tunnel revision.
      • Imran R.
      • George S.
      • Jose R.
      • Shirley C.
      • Power D.M.
      Clinical outcomes following neurolysis and porcine collagen extracellular matrix wrapping of scarred nerves in revision carpal tunnel decompression.
      Approximately 5% of conventional surgeries (with increased risk if performed under endoscopy) will lead to a failure requiring a revision surgery.
      • Westenberg R.F.
      • Oflazoglu K.
      • de Planque C.A.
      • Jupiter J.B.
      • Eberlin K.R.
      • Chen N.C.
      Revision carpal tunnel release: Risk factors and rate of secondary surgery.
      Because of the high frequency of carpal tunnel compression, its recurrence is a common problem in hand surgery. This leads to additional costs. However, there are no comparative studies on the cost of the different techniques of surgical revision (but rather on the primary indication
      • Rogers M.J.
      • Stephens A.R.
      • Yoo M.
      • Nelson R.E.
      • Kazmers N.H.
      Optimizing costs and outcomes for carpal tunnel release surgery: A cost-effectiveness analysis from societal and health-care system perspectives.
      ).

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      References

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        • George S.
        • Jose R.
        • Shirley C.
        • Power D.M.
        Clinical outcomes following neurolysis and porcine collagen extracellular matrix wrapping of scarred nerves in revision carpal tunnel decompression.
        J Plast, Reconstruct Aesthet Surg. 2022; 75: 2802-2808https://doi.org/10.1016/j.bjps.2022.04.010
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        Revision carpal tunnel release: Risk factors and rate of secondary surgery.
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        Optimizing costs and outcomes for carpal tunnel release surgery: A cost-effectiveness analysis from societal and health-care system perspectives.
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        J Hand Surg Eur Vol. 2021; 46: 749-753https://doi.org/10.1177/17531934211001715

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