• J Hand Surg Am · Mar 2014

    Review

    Use of a pedicled adipose flap as a sling for anterior subcutaneous transposition of the ulnar nerve.

    • Jonathan R Danoff, Joseph M Lombardi, and Melvin P Rosenwasser.
    • Trauma Training Center, Department of Orthopaedic Surgery, Columbia College of Physicians and Surgeons, New York, NY.
    • J Hand Surg Am. 2014 Mar 1; 39 (3): 552-5.

    AbstractIn 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. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

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