In their article, the authors report very encouraging results from the use of a synthetic
interface in carpal tunnel revision.
1
Approximately 5% of conventional surgeries (with increased risk if performed under
endoscopy) will lead to a failure requiring a revision surgery.
2
Because of the high frequency of carpal tunnel compression, its recurrence is a common
problem in hand surgery. This leads to additional costs. However, there are no comparative
studies on the cost of the different techniques of surgical revision (but rather on
the primary indication
3
).Keywords
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References
- Clinical outcomes following neurolysis and porcine collagen extracellular matrix wrapping of scarred nerves in revision carpal tunnel decompression.J Plast, Reconstruct Aesthet Surg. 2022; 75: 2802-2808https://doi.org/10.1016/j.bjps.2022.04.010
- Revision carpal tunnel release: Risk factors and rate of secondary surgery.Plast Reconstruct Surg. 2020; 145: 1204-1214https://doi.org/10.1097/PRS.0000000000006742
- Optimizing costs and outcomes for carpal tunnel release surgery: A cost-effectiveness analysis from societal and health-care system perspectives.J Bone Joint Surg. 2021; 103: 2190-2199https://doi.org/10.2106/JBJS.20.02126
- The Tenosynovial flap for recalcitrant carpal tunnel syndrome.Tech Hand Up Extrem Surg. 2013; 17: 84-86https://doi.org/10.1097/BTH.0b013e318281d0e8
- A case series of seven patients with recurrent median nerve neuropathy treated by the revision surgery of median nerve neurolysis and wrapping with radial artery perforator adipose flap.J Plast, Reconstruct Aesthet Surg. 2020; 73: 453-459https://doi.org/10.1016/j.bjps.2019.09.051
- Strickland's hypothenar fat pad flap for revision surgery in carpal tunnel syndrome: Prospective study of 34 cases.Hand Surg Rehabil. 2017; 36: 202-207https://doi.org/10.1016/j.hansur.2016.12.009
- Systematic review and meta-analysis of surgical options for recurrent or persistent carpal tunnel syndrome: simple decompression versus coverage of the median nerve.J Hand Surg Eur Vol. 2021; 46: 749-753https://doi.org/10.1177/17531934211001715
Article info
Publication history
Published online: October 18, 2022
Accepted:
October 11,
2022
Received:
September 8,
2022
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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- Clinical outcomes following neurolysis and porcine collagen extracellular matrix wrapping of scarred nerves in revision carpal tunnel decompressionJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 75Issue 8
- PreviewScar tether after primary nerve decompression can impair physiological nerve glide and vascularity of the nerve. Revision decompression in the setting of neurostenalgia should address the scarred mesoneurium in order to prevent further entrapment and tether. This study reports on the clinical outcomes of 12 patients with neurostenalgia following carpal tunnel decompression (CTD), treated with revision CTD and a porcine submucosa extracellular matrix nerve wrap (PECM) (Axoguard® nerve protector, Axogen Inc., Alachua, FL).
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