The Clinical Study Of Cubital Tunnel Syndrome Treated By Deep Fascial Flap Anterior Transposition With The Nerve Artery

Objective: Comparing the clinical efficacy of the patients with middle or severe cubital tunnel syndrome treated by subcutaneous anterior transposition and deep fascial flap anterior transposition with the nerve artery respectively.Methods: Analyzing 70 follow-up cases in 76 patients treated with two different methods, subcutaneous anterior transposition and deep fascial flap anterior transposition, in my hospital from 1999 to 2006, 28 cases treated with subcutaneous anterior transposition, and 42 cases with deep fascial flap anterior transposition.Results: The cases were followed up from 6 months to 3 years(2.2 years in average). According to ZHANG Gao-men's scoring system, 64.3% of the cases treated with subcutaneous anterior transposition were scored excellent and good, and in the group of treated with deep fascial flap anterior transposition with the nerve artery, 85.7% scored excellent and good, the difference of efficacy between the two treating methods was statistically significant (p<0.05).Conclusions: According to the difference of efficacy between subcutaneous anterior transposition and deep fascial flap anterior transposition with the nerve artery, it is recommended to treat patients with middle or severe cubital tunnel syndrome by deep fascial flap anterior transposition with the nerve artery.