TechniqueCarpal Tunnel Release Through a Small Incision Using a Special Knife GuideIwase, Yoshiyuki M.D.; Ikai, Takashi M.D.; Hara, Akira M.D.; Mori, Kaoru M.D.; Kusonose, Koichi M.D.Author Information Department of Orthopaedic Surgery, Juntendo University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Tokyo Rosai Hospital,Tokyo, Japan Address correspondence and reprint requests to Yoshiyuki Iwase, M.D., Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113–8421, Japan; e-mail [email protected] Techniques in Hand and Upper Extremity Surgery: December 2002 - Volume 6 - Issue 4 - p 193-195 Buy Abstract There have been controversial opinions regarding whether the release of the carpal tunnel should be performed arthroscopically or through an open incision. The authors present a method of open release through a small incision using a set of specially designed instruments, retaining advantages of observing the pathology under direct vision and avoiding complications of hazardous injuries to important structures. The instruments consist of a thin metal guide with a groove in the center to accommodate an angled knife holder. The procedure has been performed since 1997 with no complications. © 2002 Lippincott Williams & Wilkins, Inc.