The adipofascial flap based on an ulnar artery perforator: An alternative option for recurrent carpal tunnel syndrome

摘要

In cases of recalcitrant carpal tunnel syndrome, many surgical procedures have been described to provide a healthy tissue bed to the median nerve, including hypothenarfat pad flaps (Strickland et al., 1996), reverse radial artery adipofascial flaps (Braun et al., 1995], pro-nator quadratus muscle flaps (Dautel and Merle, 1993) and abductordigiti minimi flaps (Reismann and Dellon, 1983), We report a case of the successful treatment of recalcitrant carpal tunnel syndrome by an adipofascial flap based on an ulnar artery perforator, when the intended radial artery perforator was unavailable.