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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

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Tendon transfers to restore elbow flexion.

A Cambon-Binder¹, M Chammas², B Coulet²

¹Service d'orthopédie et de chirurgie du membre supérieur, Hôpital Saint-Antoine, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.

Hand Surgery & Rehabilitation

|June 19, 2021

Summary

Restoring elbow flexion involves nerve surgery or tendon transfers for brachial plexus palsy. Muscle transfers, strong or weak, are options, with free reinnervated transfers for severe cases.

Keywords:

Brachial plexus Elbow flexion paralysis Free vascularized muscle transfer Latissimus dorsi transfer Paralysie de la flexion du coude Pectoralis major and minor transfer Plexus brachial Steindler Tendon transfer Transfert du latissimus dorsi Transfert du pectoralis major et minor Transfert libre musculaire réinnervé Transfert tendineux

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Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery

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Area of Science:

Orthopedics
Neurosurgery
Reconstructive Surgery

Background:

Elbow flexion paralysis significantly impacts upper limb function.
It often results from brachial plexus palsy or nerve trunk lesions.

Purpose of the Study:

To outline surgical strategies for restoring elbow flexion.
To detail indications for nerve surgery versus tendon transfers.

Main Methods:

Discusses early nerve surgery and palliative transfers.
Details regional pedicled muscle transfers (strong and weak donors).
Considers free reinnervated muscle transfer when donor muscles are unavailable.

Main Results:

Tendon transfers are indicated for long-standing palsies or inadequate nerve surgery outcomes.
Strong donor transfers include pectoralis major, triceps, and latissimus dorsi.
Weak transfers (e.g., pectoralis minor, Steindler) are for incomplete recovery.

Conclusions:

A comprehensive treatment plan is essential for elbow flexion restoration.
Surgical options range from nerve procedures to various muscle transfers based on patient condition.