روش ترميم ضايعه نسج نرم كف دست بدنبال عمل جراحي سندرم تونل كارپ

Palmar Soft Tissue Defect Repair Following Carpal Tunnel Syndrome Surgery

Carpal Tunnel Syndrome (CTS) is a frequent surgical procedure which usually has minimal complications. A frequent surgical complication is damage to the palmar nerve (cutaneous branch) and edema. We reported a complication following CTS in a 65 year old women which led to necrosis of skin of the hand due to injection of a local anesthetic (Xylocaine 2% + Bupivacaine) and was referred to our center for treatment. Upon admission clinical examination revealed exposed flexors of the hand and median nerve. The defect spanded 5 cm in length in both hands. The patient was treated using a local ulnar adipofascial rotation flap based on the ulnar artery perforator to cover the defect and after the local infection subsided split skin graft was used to cover the flap.