Hypothenar fat pad flap surgery for end stage and recurrent carpal tunnel syndrome
| Autor: | T. Lattré, C. Van Holder, S. Parmentier, S. Brammer |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors Fat pad Surgical Flaps 03 medical and health sciences 0302 clinical medicine Recurrence Activities of Daily Living Medicine Humans Orthopedics and Sports Medicine Carpal tunnel Prospective Studies Stage (cooking) Carpal tunnel syndrome Pathological Aged 030222 orthopedics Hand Strength business.industry Rehabilitation Middle Aged medicine.disease Carpal Tunnel Syndrome nervous system diseases Surgery body regions medicine.anatomical_structure Adipose Tissue Anesthesia Sensation Disorders Tingling Functional status Female business 030217 neurology & neurosurgery Boston Follow-Up Studies |
| Zdroj: | Hand surgeryrehabilitation. 35(5) |
| ISSN: | 2468-1210 |
| Popis: | One year follow-up results after hypothenar fat pad flap surgery for recurrent and end stage carpal tunnel syndrome (CTS) are reported. Before surgery, the patients' complaints with a recurrent CTS were mainly pain and return of pathological symptoms (tingling, nocturnal pain, etc.) whereas the patients with end stage CTS reported problems of loss of sensation. Both groups (8 patients in each group) reported a limited functional status for activity of daily living (ADL) prior to surgery. Evaluations of sensibility, strength, pain and Boston Carpal Tunnel Questionnaire were made preoperatively and postoperatively at 3, 6 and 12 months. The major clinical issues for both groups were statistically significantly improved after one year, but already significant results were noted after 3 months. We confirm that the hypothenar fat pad flap is a good solution for recurrent CTS. Moreover, end stage CTS could be a new and promising indication for the use of this vascularized flap. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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