Tendon Transfer (Subscribe)

Paralysis of the upper extremity produces major functional impairment. The ability to perform activities of daily life can be severely compromised, especially in bilateral paralysis. When muscle-tendon units remain functional in an extremity, consider sacrificing one function to restore another by transferring the working unit to a new location. Restoring...

Certain key elements play crucial roles in tendon transfer operations. Three important principles should be emphasized. First, the transfer should not significantly decrease the remaining function of the hand. Second, the transfer should not create a deformity if significant return of function occurs following a nerve repair. Third, the transfer...

At the end of the 19th century, physicians first realized that transferring tendons could restore function to an extremity. The crippling results of the polio epidemic in Europe contributed to the advancement of tendon transfers. In addition, as anesthesia and aseptic techniques developed, the skills and technical acumen of surgeons...