Modified Jones transfer for radial nerve palsy using a single incision: surgical technique

Various modifications in the classic Jones transfer for radial nerve palsy have been described. All use multiple incisions producing multiple surgical scars over the forearm. To avoid this problem, we have devised a method in which the tendon transfer procedure can be carried out through a single incision. Sixteen patients with radial nerve palsy were operated on from 2003 to 2007. We used a single incision running along the radial border of the distal third of the forearm curving obliquely at the lower end of radius to end at the Lister tubercle. We used the flexor carpi radialis transfer in all patients. The cosmetic as well as functional results were excellent in all cases. The advantages of this method are better cosmesis with a single linear scar on the radial border of the forearm, easy rerouting of the extensor pollicis longus tendon without the need for a tendon tunneller, and less operating time.