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Extensor pollicis longus opposition transfer.

U Mennen1

  • 1Department of Hand and Microsurgery, Medical University of Southern Africa/Ga-Rankuwa Hospital, Medunsa.

The Journal of Hand Surgery
|September 1, 1992
PubMed
Summary
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A novel thumb opposition transfer technique utilizing the extensor pollicis longus tendon shows promising results. This surgical method, applied in 35 cases, achieved good or excellent outcomes in 31 patients.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Tendon transfer procedures

Background:

  • Thumb opposition is crucial for hand function.
  • Previous tendon transfer techniques have limitations.
  • The extensor pollicis longus tendon is a viable motor for opposition.

Purpose of the Study:

  • To describe a new technique for thumb opposition transfer.
  • To evaluate the efficacy of this novel surgical method.

Main Methods:

  • A new opposition transfer technique is detailed, involving the extensor pollicis longus tendon.
  • The tendon is routed through the interosseous membrane and advanced subcutaneously.
  • It is sutured to the distal stump of the extensor pollicis longus tendon with a 1 cm overlap.

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Main Results:

  • The technique was applied in 35 cases.
  • Good or excellent results were achieved in 31 out of 35 cases (88.6%).

Conclusions:

  • This new extensor pollicis longus tendon transfer technique is effective for thumb opposition.
  • The method offers a viable alternative for restoring thumb function.