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Extensor indicis proprius transfer for loss of extensor pollicis longus function

R J Noorda1, J J Hage

  • 1Department of Plastic and Reconstructive Surgery, Academic Hospital, Free University, Amsterdam, The Netherlands.

Archives of Orthopaedic and Trauma Surgery
|January 1, 1994
PubMed
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Extensor indicis proprius tendon transfers effectively restore thumb function after extensor pollicis longus loss. Most patients experienced no daily limitations, indicating a successful surgical outcome for thumb extension.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Functional loss of the extensor pollicis longus tendon significantly impacts thumb mobility and hand function.
  • Tendon transfer surgery is a common reconstructive approach for addressing extensor tendon deficits.

Purpose of the Study:

  • To evaluate the long-term functional outcomes of extensor indicis proprius tendon transfers for extensor pollicis longus loss.
  • To assess patient satisfaction and objective functional measures following this specific tendon transfer procedure.

Main Methods:

  • A retrospective review of 46 extensor indicis proprius tendon transfers performed between 1969 and 1991.
  • Assessment of long-term function in 22 patients with an average follow-up of 7 years, utilizing Geldmacher's evaluation scheme.

Related Experiment Videos

  • Measurement of pinch strength compared to the contralateral non-operated thumb.

    • Main Results:

    • 5 excellent (23%), 4 good (18%), 12 satisfactory (55%), and 1 poor (4%) results were reported based on the evaluation scheme.
    • A mean loss of 8% in pinch strength was observed compared to the contralateral thumb.
    • Subjectively, 86% of patients reported no limitations in daily life activities.

    Conclusions:

    • Extensor indicis proprius tendon transfer is a reliable procedure for restoring thumb extension following extensor pollicis longus loss.
    • Optimal surgical technique involves ensuring adequate tension for full thumb extension and appropriate post-operative immobilization for 4 weeks.