Treatment of Recurrent Carpal Tunnel Syndrome with the Abductor Digiti Minim Flap: A Case Series

Autor:	Saskia F, de Roo, Wouter F, van Leeuwen, Jan H, Coert, Brigitte, van der Heijden
Rok vydání:	2022
Předmět:	Reoperation Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] All institutes and research themes of the Radboud University Medical Center Humans Pain Paresthesia General Medicine Carpal Tunnel Syndrome Surgical Flaps
Zdroj:	Journal of Hand Surgery. Asian-Pacific Volume, 27, 698-705 Journal of Hand Surgery. Asian-Pacific Volume, 27, 04, pp. 698-705
ISSN:	2424-8355
Popis:	Background: Approximately 5% of patients experience recurrent symptoms after carpal tunnel release (CTR) and need revision surgery. Several surgical techniques have been described for recurrent carpal tunnel syndrome (CTS) and the abductor digiti minimi (ADM) flap is one of them. Literature concerning clinical results of the ADM flap for recurrent CTS is lacking. The aim of this study is to evaluate the outcomes of the ADM flap for recurrent CTS. Methods: We treated seven patients with the ADM flap (eight hands) between July 2016 and February 2019. Patient characteristics were assessed, and patients were asked about their symptoms (pain, sensation and paresthesia) before and after surgery. Postoperatively, we administered CTS symptoms, satisfaction with the surgery, patient-reported outcome measurements (BCTQ and QuickDASH) and whether they would undergo the same surgery again. Complications were also recorded Results: The median follow-up was 14 months. The success rate measured by CTS symptoms was 88%. Seven out of eight patients were satisfied with the results and two patients would not elect to undergo the same procedure again. Two patients reported having a weaker grip at the donor site. The median BCTQ symptom and function scores were 2.9 (1.7–3.5) and 2.6 (1.8–3.0) respectively. The median QuickDASH score was 41 (IQR 22–52). Complications reported were wound dehiscence (n = 1) and hypertrophic scar (n = 1). Conclusions: The outcomes of the ADM flap in patients with recurrent CTS were like other commonly used procedures in recurrent CTS. Level of Evidence: Level IV (Therapeutic)
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::426002cda07e056d0184673d9e2f6e58 http://hdl.handle.net/2066/253398 Zobrazit plný text záznamu