A new surgical technique to correct triceps paralysis

A new surgical procedure is described to restore elbow extension in tetraplegic patients. The authors have operated on thirteen cases using Moberg's technique. In his procedure Moberg uses the posterior part of the deltoid muscle as a motor. This muscle is attached to the olecranon insertion of the triceps by means of free grafts of tendons from toe extensors. Using this technique the authors have obtained satisfactory results. Nevertheless, the main problem presented by Moberg's technique is the very long postoperative period for which the patient is immobilized. The technique avoids the above mentioned inconvenience and other minor problems. The procedure is based on the same principles as Moberg's. The tendons of toe extensors are replaced by the triceps tendon itself incised lengthwise. The pertinent technical items are explained in detail. The case histories and results are cited.