Fascial flap for recurrent ganglion.
BACKGROUND
Recurrence of a dorsal wrist ganglion following surgery is not uncommon and we propose a technique to deal with the problem.


METHODS
A flap of extensor retinaculum is used to fill the defect left in the wrist capsule following repeat radical excision of the recurrent ganglion. The flap is based on a distal arterial pedicle, usually the intercompartmental 2:3 supraretinacular artery or one of its branches.


RESULTS
Eight patients have been operated with a mean follow-up of 28 months. So far there have been no recurrences.


CONCLUSIONS
Full recovery of wrist function ocurred in all cases except one who had slight restriction of flexion. We believe this to be a useful technique but a larger series with longer follow up would be needed to show its true value.
Citron
N
N
Nelson Hospital, Kingston Road, London SW20 8DB, United Kingdom. ncitron@4dudley.freeserve.co.uk
Perry
A
A
Wardle
N
N
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013524:Surgical Flaps; D013581:Synovial Cyst / Q000601:surgery*