DOI: 10.1097/rc9.0000000000001222 ISSN: 2210-2612

Autologous saphenous vein wrapping for recalcitrant post-surgical ulnar nerve compressive neuropathy: a case report

Amartya Dahal, Pawan Acharya, Rohit Shrestha, Suyash Acharya, Sarthak Shrestha, Bikash Parajuli

Background:

Vein wrapping is a surgical technique used to treat recalcitrant postoperative peripheral nerve neuropathy, serving as a barrier to prevent adhesions and scar tissue formation around the nerve.

Case report:

A 34-year-old male presented with ulnar nerve palsy following hook of hamate excision for a non-union fracture. Due to persistent neuropathy despite repeated decompressive surgeries, the patient ultimately underwent autologous saphenous vein wrapping.

Conclusion:

Autologous vein wrapping can be useful for the treatment of recalcitrant post-surgical neuropathies and helps to prevent recurrences.

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