Recurrent symptoms after carpal tunnel release are
significant challenge to hand surgeons. Scarring of the median
nerve is often the cause of recurrence. Re-exploration of the
median nerve and neurolysis carried poor results. This nonrandomized,
prospective study was designed to evaluate the
outcome of autogenous saphenous N ein rapping of the median
nerve as an alternative option to treat recurrent carpal tunnel
syndrome. The study comprised 12 patients t 10 females, 2
males) within age range of 21-49 years. All patients had both
subjective and objective evaluations. There %ere significant
pain relief and improvement in the sensory disturbances. Twopoint
discrimination and the findings of nerve conduction
studies also improved. Eleven (91.6',T) patients were satisfied
with management by this technique. This technique offers an
effective and elegant alternative to the classic operations for
recurrent carpal tunnel syndrome. It is simple; reliable;
produces excellent results; the donor vein is readily available;
harvesting is easy with minimal complications in the donor
area. |
