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[Indicis tendon transfer. technique and results (author's transl)]
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|May 30, 1978
Summary
Indicis tendon transfer surgery for extensor pollicis longus tendon ruptures yields excellent or good thumb function in most patients. Careful tensioning during tendon anastomosis is crucial for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Reconstructive Surgery
Context:
- Extensor pollicis longus (EPL) tendon injuries, including subcutaneous rupture and open trauma, can significantly impair thumb function.
- Tendon transfer surgery is a reconstructive option for restoring thumb extensor function.
Purpose:
- To evaluate the functional outcomes of indicis tendon transfer for EPL tendon ruptures.
- To identify factors influencing surgical success and potential complications.
Summary:
- This study reviewed 38 patients undergoing indicis tendon transfer for EPL tendon injuries over eight years.
- Of 33 evaluable patients, 26 achieved excellent and five good functional results.
- Reduced index finger extension force was noted but generally not functionally significant for patients.
Impact:
- Indicis tendon transfer is an effective procedure for restoring thumb extensor function after EPL tendon rupture.
- Proper surgical technique, particularly tendon tensioning, is vital for successful outcomes.
- The study highlights the reconstructive potential in hand surgery for traumatic tendon injuries.