21 October 2024
: Case report 
Surgical Outcomes of Spiral Vein Wrapping Flaps for Painful Neuromas: A Case Series Analysis
Unusual setting of medical care
Meirizal Meirizal12ABCDEF*, Karisa Kartika Sukotjo12BCDEF, A. Faiz Huwaidi
2BCDF, Agung Susilo Lo2EF
DOI: 10.12659/AJCR.945014
Am J Case Rep 2024; 25:e945014
Table 1. Patients’ characteristics.
| No. | Age, sex | Diagnosis | Associated injury | Previous surgical procedure | Location | Mechanism | Definitive treatment | Duration of symptoms | Duration of conservative treatment |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 26, M | Ulnar nerve palsy with neuroma | – | Tendon and nerve repair | Right forearm flexor zone V | Sharp injury | Neuroma excision, nerve grafting from Sural nerve and spiral vein wrapping with sural vein | 7 years prior | 6 months |
| 2 | 50 F | Median nerve neuroma | – | Tendon and nerve repair | Left forearm flexor zone V | Sharp injury | Neuroma excision, nerve grafting from Sural nerve and spiral vein wrapping with sural vein | 7 years prior | 6 months |
| 3 | 37, M | Median nerve neuroma | Second, third, and fourth FDS and FDP tendon | Tendon and nerve repair | Right forearm flexor zone V | Sharp injury | Adhesion release, third FDP reconstruction, neuroma excision, nerve grafting from sural nerve and spiral vein wrapping with sural vein | 7 years prior | 6 months |
| 4 | 40, M | Femoral nerve neuroma | – | Transfemoral amputation | Left lower limb (calf) | Crush injury | Neuroma excision, nerve grafting from sural nerve and spiral nerve wrapping with sural vein | 10 years prior | 6 months |
| M – Male; F – Female; FDP – flexor digitorum profundus; FDP – flexor digitorum profundus. | |||||||||