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. Author manuscript; available in PMC: 2019 Apr 1.
Published in final edited form as: J Hand Surg Am. 2018 Feb 24;43(4):360–367. doi: 10.1016/j.jhsa.2018.01.013

Figure 2.

Figure 2

Figure 2

Figure 2

Figure 2

Figure 2

A saphenous vein wrap was used as a protective barrier in a case of recurrent tarsal tunnel syndrome. (2A) The prior skin incision is marked with the transverse lines and the subcutaneous veins are marked prior to limb exsanguination. (2B) Dissection of the tibial nerve within the tarsal tunnel demonstrates epineural scarring deep to the reformed lancinate ligament. (2C) The saphenous vein is harvested and split longitudinally. (2D) The longitudinally-split saphenous vein is wrapped around the scarred segment of the tibial nerve. (2E) Care is taken to avoid wrapping the nerve too tightly, as demonstrated by the ability to place the forceps deep to the vein wrap.