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Tendon transfers for radial nerve palsy.
The Australian and New Zealand Journal of Surgery
|June 1, 1980
Summary
Tendon transfer surgery effectively treats radial nerve palsy when direct nerve repair is not feasible or unlikely to restore function. This procedure provides a dynamic splint for the hand, improving grip and function.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Hand Surgery
Background:
- Radial nerve palsy can result from trauma, leading to significant functional deficits in hand and wrist extension.
- Nerve repair (neurorrhaphy) may not always be possible or yield satisfactory functional recovery.
- Alternative surgical interventions are crucial for restoring hand function in complex cases.
Purpose of the Study:
- To review tendon transfer procedures utilized in treating radial nerve palsy.
- To outline the criteria for selecting tendon transfer over nerve repair.
- To emphasize the efficacy of tendon transfer in restoring hand function.
Main Methods:
- Retrospective analysis of 69 cases of radial nerve palsy treated over 25 years.
- Evaluation of factors influencing the decision between neurorrhaphy and tendon transfer.
- Surgical technique focused on tendon transfer for dynamic splinting.
Main Results:
- Tendon transfer was employed when neurorrhaphy was impossible, unlikely to succeed, or showed no recovery after six months.
- Indications included failed nerve repair, scar formation, or muscular atrophy.
- Successful functional restoration of extensor function was achieved through dynamic splinting.
Conclusions:
- Tendon transfer is a valuable and frequently indicated surgical option for radial nerve palsy.
- Careful adherence to indications ensures optimal outcomes for patients.
- This procedure provides a reliable dynamic splint, significantly improving hand function.