FIELD: medicine.
SUBSTANCE: method involves carrying out microsurgical external and internal neurolysis, excising cicatricially transformed epineurium portion along anterior semicircle of the nerve trunk allover the whole compression zone extent, mobilizing its unchanged portion margins, producing U-shaped vascularized flap matching defect of external subcutaneous fat layer having superficial fascia, in size, or peritenon on vascular pedicle, and bringing it close to the nerve. The flap is perforated beyond the vascular zones, placed on fascicles and sutured along flap perimeter and mobilized epineurium margin using isolated interrupted sutures.
EFFECT: complete nerve decompression; excluded circular flap fixation.
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Authors
Dates
2004-12-10—Published
2003-05-16—Filed