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Related Experiment Videos

Tendon transfers in hand surgery.

D C Riordan

    The Journal of Hand Surgery
    |September 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Skilled hand surgery techniques are crucial for reconstructing paralytic hands. This study reviews effective tendon transfers and surgical procedures for radial nerve paralysis and clawhand deformities.

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    Area of Science:

    • Orthopedics
    • Hand Surgery
    • Reconstructive Surgery

    Background:

    • Paralytic hands require specialized surgical reconstruction.
    • Radial nerve paralysis and clawhand deformities present significant functional challenges.

    Purpose of the Study:

    • To review and recommend effective surgical techniques for reconstructing paralytic hands, focusing on radial nerve paralysis and clawhand.
    • To evaluate various tendon transfer and surgical procedures for optimal patient outcomes.

    Main Methods:

    • Review of established and recent surgical techniques for hand reconstruction.
    • Analysis of tendon transfers including pronator teres, flexor carpi ulnaris, and palmaris longus.
    • Evaluation of procedures like Bunnell sublimis transplantation, Fowler extensor transplant, Brand procedure, Zancolli procedure, and Fowler tenodesis.

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    Main Results:

    • Specific tendon transfers are effective for radial nerve paralysis.
    • Bunnell sublimis transplantation and modified Fowler extensor transplant are recommended for clawhand, with considerations for deformity severity and joint laxity.
    • The Brand procedure shows promise but requires further evaluation.
    • Zancolli procedure offers static correction, while Fowler tenodesis provides semi-active correction.

    Conclusions:

    • A range of surgical options exist for paralytic hands, with technique selection depending on the specific condition (radial nerve paralysis vs. clawhand) and patient factors.
    • Tendon transfers and procedures like Bunnell, Fowler, Brand, and Zancolli offer viable solutions for restoring hand function.