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The authors present a series of cases with complications arising from the use of “KnifeLigth®”, an instrument designed for the surgical treatment of carpal tunnel syndrome, as a mini-invasive technique. Methods: We present six cases of complications of the surgical treatment of the carpal tunnel using the “KnifeLigth®”, referred for treatment. There were two cases of incomplete release of the ligament, treated by surgical revision and an hypothenar fat flap interposition, two cases of partial injury of the median nerve treated conservatively, one case of common digital nerve division laceration treated with a nerve graft and an hypothenar fat flap, and one complete laceration of the median nerve reconstructed with nerve grafts, and an autologous vein coverage plus opponensplasty. Results: All patients improved after the treatment with a minimum one year follow-up. The cases of incomplete section of the annular ligament carpal evolved as a standard primary case. The nerve lacerations reconstructed with nerve grafts recovered poor sensitivity and improvement of clinical pain. Conclusions: While minimally invasive techniques have some advantages over the open technique, the severity of the complications due to the lack of vision make us reluctant to use them. Moreover, the interposition of fat or coverage with vascularized autologous vein, should be considered in secondary surgeries nerves.

Complicaciones del tratamiento quirúrgico del síndrome del túnel del carpo con el sistema “KnifeLight®”