Background: Recurrence of the symptoms of median nerve
entrapment over the wrist remains a challenging problem and
in most cases it is secondary to recurrent adhesions around
the median nerve, vascularized tissue coverage is one of the
most successful treatments to relieve pain and prevent recurrence.
Material and Methods: Fifteen patients were involved in
this study with recurrent or persistent carpal tunnel syndrome
to study benefit of vascularized wrapping of median nerve by
tubed adipofascial radial artery perforator flap.
Results: Marked improvement had been observed in nerve
conduction studies, visual analogue scale and grip strength
with no recurrence for one year postoperatively.
Conclusion: Radial artery perforator adipofascial flap
have the advantage of good volume and vascularity providing
protection and vascular supply to the severed median nerve