Autogenous saphenous vein graft wrapping of the tibial nerve has been described as an effective treatment option for failed tarsal tunnel decompression. Various theories have been proposed to explain how this method works, with little histologic evidence to date. A pathologic investigation of a sectioned nerve that had been previously wrapped provides some insight into these proposals.
Get full access to this article
View all access options for this article.
References
1.
. CiminoW.R.: Tarsal tunnel syndrome: review of the literature. Foot Ankle, 11: 47–52, 1990.
2.
. EdwardsW.G.LincolnC.R.BassettF.H.IIIGoldnerJ.L.: The tarsal tunnel syndrome: diagnosis and treatment. J. A. M. A., 207: 716–720, 1969.
3.
. GouldJ.S.: Treatment of the painful injured nerve in-continuity. In GelbermanG.H. (Ed.), Operative Nerve Repair and Reconstruction. Philadelphia, J. B. Lippincott, 1991, pp. 1541–1550.
4.
. HartT.S.GouldJ.S.O'BrienT.S.WinklerM.V.: Outcome analysis of vein wrapping for intractable painful nerves in continuity. Presented at the 12th Annual Summer Meeting of the American Foot and Ankle Society, Hilton Head, SC, June 28, 1996.
5.
. LamS.J.S.: Tarsal tunnel syndrome. J. Bone Joint Surg., 49B: 87–92, 1967.
. SotereanosD.G.GiannakopoulosP.N.MitsionisG.I.XuJ.HerndonJ.H.: Vein-graft wrapping for the treatment of recurrent compression of the median nerve. Microsurgery, 16: 752–756, 1995.
12.
. TakakuraY.KitadaC.SugimotoK.TanakaY.TamaiS.: Tarsal tunnel syndrome: causes and results of operative treatment. J. Bone Joint Surg., 73B: 125–128, 1991.
13.
. WilemonW.K.: Tarsal tunnel syndrome. A 50-year survey of the world literature and a report of two new cases. Orthop. Rev., 8: 111–117, 1979.
14.
. ZeissJ.FentonP.EbraheimN.CoombsR.J.: Magnetic resonance imaging for ineffectual tarsal tunnel surgical treatment. Clin. Orthop., 264: 264–266, 1991.
