Problems and solutions in palliative tendon transfer surgery for radial nerve palsy

Palliative tendon transfer procedures for radial nerve palsy are continuing to evolve. The main modifications have concerned the operative techniques and the choice of procedures to adapt surgery to the needs of the patient. A study of all the elements of tendon transfer has been undertaken and has gradually led us to describe two basic methods of transfer either using or not using the flexor carpi ulnaris for transfer. The essential consideration is the avoidance of radial deviation of the wrist by centralizing the insertion of the extensor carpi radialis longus.