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Evaluation of results of various tendon transfers in high and low radial nerve palsy.
J Clin Orthop Trauma. 2020 Jul-Aug; 11(4):614-619.JC

Abstract

Background

Various combinations of tendon transfers are available for radial nerve palsy. However, the choice of which set of transfer to be performed in a patient remains an issue of varied opinions among surgeons. The study attempts to evaluate the results of various tendon transfers for radial nerve palsy quantitatively and subjectively. It also identifies which set of transfer is suitable for particular groups of patients.

Materials and methods

The study was conducted between 2005 and 2007. A total of 15 tendon transfers were performed using various combinations and evaluated according to Bincaz's criteria, Kapandji scale and effect of tendon transfers on activities of daily living.

Results

13 patients had excellent to fair outcome according to Bincaz's criteria. 2 patients had poor outcome. There was no hindrance in the activities of daily life in all patients. 93.4% of patients were satisfied with the results.

Conclusion

Every combination of tendon transfers has its own set of merits and demerits. Selection of donor tendons as per occupational need of patients is utmost important. Patients in our series were satisfied with set of transfers using Pronator teres(PT) for wrist extension, Flexor carpi radialis (FCR) for finger extension and rerouted Palmaris longus (PL) for extension of thumb. Flexor carpi ulnaris (FCU) is important for power grip.

Authors+Show Affiliations

Fortis Escorts Hospital, Jaipur, India.SMS Medical College, Jaipur, Rajasthan, India.SMS Medical College, Jaipur, Rajasthan, India.SMS Medical College, Jaipur, Rajasthan, India.Jupiter Hospital, Eastern Express Highway, Thane West, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32684698

Citation

Kumar Vyas, Amit, et al. "Evaluation of Results of Various Tendon Transfers in High and Low Radial Nerve Palsy." Journal of Clinical Orthopaedics and Trauma, vol. 11, no. 4, 2020, pp. 614-619.
Kumar Vyas A, Gupta A, Patni P, et al. Evaluation of results of various tendon transfers in high and low radial nerve palsy. J Clin Orthop Trauma. 2020;11(4):614-619.
Kumar Vyas, A., Gupta, A., Patni, P., Saini, N., & Lad, P. B. (2020). Evaluation of results of various tendon transfers in high and low radial nerve palsy. Journal of Clinical Orthopaedics and Trauma, 11(4), 614-619. https://doi.org/10.1016/j.jcot.2020.05.023
Kumar Vyas A, et al. Evaluation of Results of Various Tendon Transfers in High and Low Radial Nerve Palsy. J Clin Orthop Trauma. 2020 Jul-Aug;11(4):614-619. PubMed PMID: 32684698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of results of various tendon transfers in high and low radial nerve palsy. AU - Kumar Vyas,Amit, AU - Gupta,Aviral, AU - Patni,Purnima, AU - Saini,Narender, AU - Lad,Parag B, Y1 - 2020/06/14/ PY - 2020/04/10/received PY - 2020/05/20/revised PY - 2020/05/21/accepted PY - 2021/07/01/pmc-release PY - 2020/7/21/entrez PY - 2020/7/21/pubmed PY - 2020/7/21/medline KW - Bincaz criteria KW - Flexor carpi radialis KW - Flexor carpi ulnaris KW - Kapandji scale KW - Radial nerve palsy KW - Tendon transfer SP - 614 EP - 619 JF - Journal of clinical orthopaedics and trauma JO - J Clin Orthop Trauma VL - 11 IS - 4 N2 - Background: Various combinations of tendon transfers are available for radial nerve palsy. However, the choice of which set of transfer to be performed in a patient remains an issue of varied opinions among surgeons. The study attempts to evaluate the results of various tendon transfers for radial nerve palsy quantitatively and subjectively. It also identifies which set of transfer is suitable for particular groups of patients. Materials and methods: The study was conducted between 2005 and 2007. A total of 15 tendon transfers were performed using various combinations and evaluated according to Bincaz's criteria, Kapandji scale and effect of tendon transfers on activities of daily living. Results: 13 patients had excellent to fair outcome according to Bincaz's criteria. 2 patients had poor outcome. There was no hindrance in the activities of daily life in all patients. 93.4% of patients were satisfied with the results. Conclusion: Every combination of tendon transfers has its own set of merits and demerits. Selection of donor tendons as per occupational need of patients is utmost important. Patients in our series were satisfied with set of transfers using Pronator teres(PT) for wrist extension, Flexor carpi radialis (FCR) for finger extension and rerouted Palmaris longus (PL) for extension of thumb. Flexor carpi ulnaris (FCU) is important for power grip. SN - 0976-5662 UR - https://www.unboundmedicine.com/medline/citation/32684698/Evaluation_of_results_of_various_tendon_transfers_in_high_and_low_radial_nerve_palsy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0976-5662(20)30210-1 DB - PRIME DP - Unbound Medicine ER -
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