Strickland J W, Idler R S, Lourie G M, Plancher K D
Department of Hand Surgery, St. Vincent Hospital, Indianapolis, IN, USA.
J Hand Surg Am. 1996 Sep;21(5):840-8. doi: 10.1016/S0363-5023(96)80201-2.
The hypothenar fat pad flap interposes adipose tissue from the hypothenar eminence between the median nerve and overlying transverse carpal ligament and surgical scar. This retrospective study reviews 62 hands in 58 patients (46 non-workers' compensation and 16 workers' compensation) with recurrent symptoms after failed open carpal tunnel release who underwent revision carpal tunnel decompression and in whom a hypothenar fat pad flap was used. The follow-up period averaged 33 months. Patient satisfaction was 6 in the non-workers' compensation group and 4 in the workers' compensation group. Average time to return to work for the non-workers' compensation group was 12 weeks, compared to 37 weeks for the workers' compensation group. Study results indicate that the hypothenar fat pad flap produces excellent results in procedures designed to alleviate recalcitrant idiopathic carpal tunnel syndrome.
小鱼际脂肪垫瓣将小鱼际隆起处的脂肪组织置于正中神经与覆盖的腕横韧带及手术瘢痕之间。这项回顾性研究评估了58例患者的62只手（46例非工伤赔偿患者和16例工伤赔偿患者），这些患者在开放性腕管松解术失败后出现复发性症状，接受了腕管减压翻修术，并使用了小鱼际脂肪垫瓣。随访期平均为33个月。非工伤赔偿组的患者满意度为6分，工伤赔偿组为4分。非工伤赔偿组平均重返工作岗位的时间为12周，而工伤赔偿组为37周。研究结果表明，小鱼际脂肪垫瓣在旨在缓解顽固性特发性腕管综合征的手术中产生了优异的效果。
