Document Detail


Pedicled hypothenar fat flap for median nerve coverage in recalcitrant carpal tunnel syndrome.
MedLine Citation:
PMID:  11089186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome. Forty-five patients with recurrent symptoms after previous carpal tunnel surgery were included in this study. Patients with incomplete release of the transverse carpal ligament were not included. We performed an anatomical study on 30 cadavers. The original technique with the section of the deep branch of ulnar artery was modified. The flap could be transferred onto the median nerve without stretching. The median follow-up was 45 months (range, 12-80 months). Pain completely disappeared in 41 patients with normal nerve conduction. Based on clinical and electromyographic signs, the global results showed excellent results (49%), 19 good results (45%), two average results (4.5%) and two failures (2%). The use of a hypothenar pedicled fat flap to cover the median nerve in recalcitrant carpal tunnel syndrome is a simple and efficient technique which improves the trophic environment of the median nerve and relieves pain.
Authors:
C Mathoulin; J Bahm; S Roukoz
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  5     ISSN:  0218-8104     ISO Abbreviation:  Hand Surg     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2001-01-26     Completed Date:  2001-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  33-40     Citation Subset:  IM    
Affiliation:
Institut de la Main, 6 square Jouvenet, 75016 Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / pathology,  surgery*
Adult
Aged
Aged, 80 and over
Carpal Tunnel Syndrome / pathology,  surgery*
Female
Hand Strength
Humans
Male
Median Nerve / pathology,  surgery*
Middle Aged
Outcome and Process Assessment (Health Care)
Pain Measurement
Patient Satisfaction
Reconstructive Surgical Procedures / methods*
Recurrence
Reoperation / methods
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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