Anterior Subcutaneous Transposition of the Vascularized Ulnar Nerve in the Treatment of Moderate and Severe Cubital Tunnel Syndrome

Objective To discuss the therapy effect of anterior transposition of the vascularized ulnar nerve in the treatment of moderate and severe cubital tunnel syndrome.Methods Fifty three patients suffered moderate and severe cubital tunnel syndrome were selected,including 22 patients applying traditional ulnar nerve transposition and 31 patients applying the vascularized ulnar nerve transposition.Results All the patients were followed up,with the following time from 12 months to 48 months,averaged 24 months.According to the Chinese medical society of hand surgery trial upper part of the standard evaluation function assessment,the results were excellent in 2 cases,good in 10,fair in 7 and poor in 3 cases in traditional group.The results were excellent in 6 cases,good in 19,fair in 5 and poor in 1case.The difference between two groups shows statistical significance.Conclusion The vascularized unlar nerve anterior transposition is a better choice in the treatment of moderate and severe cubital tunnel syndrome compared with traditional ulnar nerve transposition.