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Internal neurolysis and flexor tenosynovectomy: Adjuncts in the treatment of chronic median nerve compression at the wrist in hemodialysis patients
Author(s) -
Corradi M.,
Paganeli E.,
Pavesi G.
Publication year - 1989
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920100321
Subject(s) - medicine , neurolysis , wrist , surgery , hemodialysis , median nerve , decompression
This retrospective clinical study reports our results with surgical treatment of chronic median nerve compression at the wrist in 27 hemodialysis patients with a mean follow‐up of 22 months. Due to the high incidence of amyloidosis in our patient population, an extensive tenosynovectomy was done in all patients. Statistically significantly (P = .03) better results were obtained when a microsurgical internal neurolysis was added to the procedure, than simple decompression alone (82% vs. 63% good to excellent results).