The goal of this clinical trial is to compare open carpal tunnel release using local anesthesia with or without a tourniquet. The main questions it aims to answer are: 1. Do the tourniquet cause more procedural pain? 2. Does the use of tourniquet affect the outcome after the procedure? Participants will be randomized to either local anesthesia with a tourniquet or local anesthesia with adrenaline, and undrgo standard open carpal tunnel release.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
120
Using local anesthesia with adrenaline for intraoperative vasoconstriction instead of a tourniquet.
Procedural pain
Visual analog scale 0 (no pain)-100 (worst possible pain)
Time frame: Day 1
Injection pain
Visual analog scale 0 (no pain)-100 (worst possible pain)
Time frame: Day 1
Procedure satisfaction
Visual analog scale 0 (best)-100 (worst)
Time frame: Day 1
Surgery time
Incision to wound closure (minutes)
Time frame: Day 1
Use of diathermy/need to inflate or deflate tourniquet
Time frame: Day 1
Adverse events
Time frame: 2 weeks
11-item disabilities of arm, shoulder and hand questionnaire (QuickDASH)
0 (best)-100 (worse)
Time frame: 3 months, 1 year
Atroshi-Lyrén scale
1 (no symptoms)- 5 (worst symptoms)
Time frame: 3 months, 1 year
Palmar pain scale
0 (no palmar pain or activity limitation)-100 (worst)
Time frame: 3 months, 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.