title: Fascial flap for recurrent ganglion.
abstract: 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.
authors.affiliation: Nelson Hospital, Kingston Road, London SW20 8DB, United Kingdom. ncitron@4dudley.freeserve.co.uk
authors.forename: N
authors.initials: N
authors.lastname: Citron
authors.forename: A
authors.initials: A
authors.lastname: Perry
authors.forename: N
authors.initials: N
authors.lastname: Wardle
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013524:Surgical Flaps; D013581:Synovial Cyst / Q000601:surgery*