title: Recurrent compressive neuropathy of the median nerve at the wrist: treatment with autogenous saphenous vein wrapping.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pennsylvania 15213, USA.
authors.forename: S E
authors.initials: SE
authors.lastname: Varitimidis
authors.forename: F
authors.initials: F
authors.lastname: Riano
authors.forename: D G
authors.initials: DG
authors.lastname: Vardakas
authors.forename: D G
authors.initials: DG
authors.lastname: Sotereanos
mesh_terms: D000328:Adult; D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D012008:Recurrence; D012501:Saphenous Vein / Q000601:surgery*