Citron N, Perry A, Wardle N
Nelson Hospital, Kingston Road, London SW20 8DB, United Kingdom.
Chir Main. 2004 Feb;23(1):24-6. doi: 10.1016/j.main.2003.12.007.
Recurrence of a dorsal wrist ganglion following surgery is not uncommon and we propose a technique to deal with the problem.
A flap of extensor retinaculum is used to fill the defect left in the wrist capsule following repeat radical excision of the recurrent ganglion. The flap is based on a distal arterial pedicle, usually the intercompartmental 2:3 supraretinacular artery or one of its branches.
Eight patients have been operated with a mean follow-up of 28 months. So far there have been no recurrences.
Full recovery of wrist function ocurred in all cases except one who had slight restriction of flexion. We believe this to be a useful technique but a larger series with longer follow up would be needed to show its true value.
