A new knife with its own battery powered light source (Knifelight(R), Stryk
er Instruments, Kalamazoo, Michigan, USA) was used for carpal tunnel releas
e in 31 wrists of 25 patients, Under local anaesthesis, a short palmar inci
sion was used and the carpal tunnel contents were visualized during divisio
n of the flexor retinaculum. The mean operation time was 11 minutes and no
major complications were seen. The patients could use their hands for self-
care after 3 days and returned to work at a mean of 23 days. At a minimum f
ollow-up of 6 months, all but one of the patients were satisfied with the f
inal result. Mild scar tenderness was seen in two patients and pillar pain
in one patient.