Cirugía de rescate en el síndrome del túnel del carpo: nuestra experiencia utilizando el colgajo vascularizado de grasa hipotenar

Resumen

Introducción Una de las técnicas más extendidas para tratar la recidiva del síndrome del túnel del carpo (STC), es la interposición de un colgajo de almohadilla grasa hipotenar vascularizada (técnica de Strickland). Esa técnica es la empleada por la Unidad de Cirugía de Muñeca y Mano del Servicio de Traumatología del Hospital Universitario Príncipe de Asturias. El objetivo de este estudio, es revisar los pacientes intervenidos de recidiva del STC en dicha unidad mediante esa técnica, y comprobar su evolución a medio y largo plazo.

Material y Método En este trabajo se lleva a cabo un estudio retrospectivo de tipo descriptivo. La población estudiada es la muestra de pacientes operados mediante la técnica de Strickland, para la recidiva del STC, intervenidos entre el 2010 y el 2017, habiendo pasado un mínimo de 6 meses desde esa última intervención.

Conclusión Pese a las limitaciones de este estudio, los datos avalan que se obtiene mejoría objetiva y subjetiva en un número elevado de pacientes con STC recidivado: al menos el 50% de los pacientes intervenidos se encuentran satisfechos; siendo bajo el índice de complicaciones.

Abstract

Introduction One of the most widespread techniques to treat the recurrent carpal tunnel syndrome (CTS) is the interposition of a vascularized hypothenar fat pad flap (Strickland technique). This technique is used by the Wrist and Hand Surgery Unit of the Traumatology Service of the Príncipe de Asturias University Hospital. The aim of this study is to review the patients who underwent recurrent CTS in this unit using this technique, and to check its evolution in the medium and long terms.

Methods In this research, a retrospective descriptive study is performed. The population studied is the sample of patients operated by the Strickland technique, for recurrent CTS, operated between 2010 and 2017, having passed a minimum of 6 months since this last intervention.

Conclusion Despite the limitations of this study, the data show that objective and subjective improvement is obtained in a large number of patients with recurrent CTS: at least 50% of the patients operated on are satisfied; being low the complication rate.

Palabras Clave

colgajos quirúrgicos - estudios retrospectivos - microcirugía - nervio mediano - recurrencia - síndrome túnel carpo

Keywords

carpal tunnel syndrome - median nerve - microsurgery - recurrence - retrospective studies - surgical flaps

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