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Combined nerve and tendon transfer to restore elbow extension in tetraplegic patients: surgical technique and case report.
- Source :
-
Spinal cord series and cases [Spinal Cord Ser Cases] 2020 Apr 30; Vol. 6 (1), pp. 31. Date of Electronic Publication: 2020 Apr 30. - Publication Year :
- 2020
-
Abstract
- Introduction: In individuals with tetraplegia, elbow extension is critical for overhead activities, weight shifting, independent transfers, and to perform self-care tasks such as eating. At present, restoration of elbow extension in tetraplegic patients can be performed using either tendon or nerve transfers. Each procedure presents several advantages and limitations that must be discussed with the potential surgical candidate, based on remaining muscular functions and functional goals.<br />Case Presentation: We propose a novel combined technique of both tendon and nerve transfer to restore active elbow extension by transferring the posterior deltoid tendon to the triceps tendon and the branch of teres minor nerve to the long head of the triceps nerve. Techniques were performed from the same shoulder posterior surgical approach.<br />Discussion: This surgical technique can add the benefits of each tendon and nerve transfer, leading to a reduction of failure rates, with more predictable outcomes.
Details
- Language :
- English
- ISSN :
- 2058-6124
- Volume :
- 6
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Spinal cord series and cases
- Publication Type :
- Academic Journal
- Accession number :
- 32355201
- Full Text :
- https://doi.org/10.1038/s41394-020-0281-x