title: Use of a pedicled adipose flap as a sling for anterior subcutaneous transposition of the ulnar nerve.
abstract: In patients with primary cubital tunnel syndrome, we hypothesize that using a vascularized adipose sling to secure the ulnar nerve during anterior subcutaneous transposition will lead to improved patient outcomes. The adipose flap is designed to surround the ulnar nerve with a pliable, vascularized fat envelope, mimicking the natural fatty environment of peripheral nerves. This technique may offer advantages in securing the anteriorly transposed ulnar nerve and reducing instances of postoperative perineural scarring. Patients experience good functional outcomes; most experience resolution of symptoms.
authors: Trauma Training Center, Department of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, New York, NY.
authors: Jonathan R
authors: JR
authors: Danoff
authors: Trauma Training Center, Department of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, New York, NY.
authors: Joseph M
authors: JM
authors: Lombardi
authors: Trauma Training Center, Department of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, New York, NY. Electronic address: mpr2@columbia.edu.
authors: Melvin P
authors: MP
authors: Rosenwasser
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D020430:Cubital Tunnel Syndrome / Q000601:surgery*; D019299:Decompression, Surgical; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000601:surgery*
keywords: Adipose; flap; neuropathy; transposition; ulnar