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Journal of Hand Surgery (British and European Volume)
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*Carpal Tunnel Syndrome
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Articles

Recurrent Compressive Neuropathy of the Median Nerve at the Wrist: Treatment with Autogenous Saphenous Vein Wrapping

S. E. VARITIMIDIS
F. RIANO
D. G. VARDAKAS
D. G. SOTEREANOS

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

Correspondence: D.G. Sotereanos, Chief, Hand and Upper Extremity Surgery, University of Pittsburgh, Medical Center, Kaufmann Building, Suite 1010, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA., E-mail: dsoterea{at}uoi.upmc.edu

Recurrence of symptoms occurs in a significant number of patients after surgical decompression for carpal tunnel syndrome, and its management is both challenging and difficult. Fifteen patients with recurrent carpal tunnel syndrome were treated with a vein wrapping technique using the autologous saphenous vein. A total of 48 operations had been performed on these patients before wrapping the median nerve with a saphenous vein graft. At a mean follow-up of 43 months all patients reported significant pain relief and improvement in their sensory disturbances. Two-point discrimination and the findings of nerve conduction studies also improved.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 3, 271-275 (2000)
DOI: 10.1054/jhsb.2000.0379
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