title: New technique for reducing fibrosis in recurrent cases of carpal tunnel syndrome.
abstract: OBJECTIVE
  Synthetic bio-degradable materials have been used as an artificial barrier in prophylaxis of adhesions. We report on the use of lactid caprolacton film (Mesofol) in recurrent carpal tunnel syndrome. We hypothesise that its use will give favourable results regarding the functional outcome and the recurrence rate.
  
  
  METHODS
  Fourteen patients were prospectively reviewed following neurolysis and application of Mesofol film. Average age was 48 years. Outcome assessment measures included; two-point discrimination, verbal rating scale, and Boston Questionnaire.
  
  
  RESULTS
  Follow-up period averaged 25.5 months. Post-operative two-point discrimination improved to an average of 4.57 mm. The post-operative average verbal rating scale was 1.5. The mean symptom severity score improved to 1.88 and the mean functional score improved to 1.69 post-operatively.
  
  
  CONCLUSIONS
  In cases of recurrent carpal tunnel syndrome, the use of mesofol barrier yields good functional results at the short term follow-up. The technique is simple. No patients needed further surgeries.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Wael A M
authors.initials: WA
authors.lastname: Nassar
authors.forename: Ahmed Naeem
authors.initials: AN
authors.lastname: Atiyya
mesh_terms: D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D002921:Cicatrix / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D011183:Postoperative Complications; D020127:Recovery of Function; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D011091:Polyesters; C062968:lactide-caprolactone copolymer
keywords: Biodegradable; Carpal Tunnel Release; Recurrent CTS; Tissue Barrier