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Outcome of tendon transfer for radial nerve palsy using Flexor Carpi Radialis combination (Brands transfer).
J Clin Orthop Trauma. 2020 Jul-Aug; 11(4):630-636.JC

Abstract

Introduction

-Loss of radial nerve function leads to severe weakness of grip and tendon transfer is considered the standard treatment. However; there is continuing debate as to the best combination of tendon transfers in such patients. The aim of this study is to present the results of Flexor carpi radialis (FCR) combination of triple tendon transfer for radial nerve palsy.

Material and methods

It is a retrospective study conducted over 15 years. 58 patients of with irreversible radial nerve paralysis were included. Brands transfer was performed in all cases. The ranges of movement of the wrist, fingers and thumb were evaluated pre-operatively and postoperatively using Bincaz scale.

Results

Total 58 patients were included in the study, 47 were male and 11 female patients with mean age of 35.27 years. Causes of radial nerve palsy were comminuted open humeral fracture (n = 42), penetrating injuries (n = 13) and brachial plexus palsy (n = 3). Mean duration of palsy was 9.37 months (range = 9-12 months). The mean post-operative follow-up was 10 (range = 2-15) years. On evaluation with the Bincaz score, 6 patients had excellent results, 49 patients had good results, and 3 patients had poor results. There were 3 complications in 5 patients, including radial deviation of wrist, inadequate abduction of thumb and restricted wrist flexion. 55 patients (94.82%) were able to return to their normal daily work after ∼8 weeks. Conclusions - Tendon transfer is a standard procedure for radial nerve palsy but potential advantage of one method over the other has not been demonstrated. Brand's transfer results in an acceptable restoration of hand function.

Authors+Show Affiliations

Charge Plastic Surgery Unit, Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.Charge Plastic Surgery Unit, Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32684701

Citation

Agarwal, Pawan, et al. "Outcome of Tendon Transfer for Radial Nerve Palsy Using Flexor Carpi Radialis Combination (Brands Transfer)." Journal of Clinical Orthopaedics and Trauma, vol. 11, no. 4, 2020, pp. 630-636.
Agarwal P, Kukrele R, Sharma D. Outcome of tendon transfer for radial nerve palsy using Flexor Carpi Radialis combination (Brands transfer). J Clin Orthop Trauma. 2020;11(4):630-636.
Agarwal, P., Kukrele, R., & Sharma, D. (2020). Outcome of tendon transfer for radial nerve palsy using Flexor Carpi Radialis combination (Brands transfer). Journal of Clinical Orthopaedics and Trauma, 11(4), 630-636. https://doi.org/10.1016/j.jcot.2020.05.012
Agarwal P, Kukrele R, Sharma D. Outcome of Tendon Transfer for Radial Nerve Palsy Using Flexor Carpi Radialis Combination (Brands Transfer). J Clin Orthop Trauma. 2020 Jul-Aug;11(4):630-636. PubMed PMID: 32684701.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of tendon transfer for radial nerve palsy using Flexor Carpi Radialis combination (Brands transfer). AU - Agarwal,Pawan, AU - Kukrele,Rajeev, AU - Sharma,Dhananjaya, Y1 - 2020/05/18/ PY - 2020/05/05/received PY - 2020/05/09/revised PY - 2020/05/11/accepted PY - 2021/07/01/pmc-release PY - 2020/7/21/entrez PY - 2020/7/21/pubmed PY - 2020/7/21/medline KW - Brands transfer KW - Flexor carpi radialis KW - Radial nerve paralysis KW - Tendon transfer KW - Wrist drop SP - 630 EP - 636 JF - Journal of clinical orthopaedics and trauma JO - J Clin Orthop Trauma VL - 11 IS - 4 N2 - Introduction: -Loss of radial nerve function leads to severe weakness of grip and tendon transfer is considered the standard treatment. However; there is continuing debate as to the best combination of tendon transfers in such patients. The aim of this study is to present the results of Flexor carpi radialis (FCR) combination of triple tendon transfer for radial nerve palsy. Material and methods: It is a retrospective study conducted over 15 years. 58 patients of with irreversible radial nerve paralysis were included. Brands transfer was performed in all cases. The ranges of movement of the wrist, fingers and thumb were evaluated pre-operatively and postoperatively using Bincaz scale. Results: Total 58 patients were included in the study, 47 were male and 11 female patients with mean age of 35.27 years. Causes of radial nerve palsy were comminuted open humeral fracture (n = 42), penetrating injuries (n = 13) and brachial plexus palsy (n = 3). Mean duration of palsy was 9.37 months (range = 9-12 months). The mean post-operative follow-up was 10 (range = 2-15) years. On evaluation with the Bincaz score, 6 patients had excellent results, 49 patients had good results, and 3 patients had poor results. There were 3 complications in 5 patients, including radial deviation of wrist, inadequate abduction of thumb and restricted wrist flexion. 55 patients (94.82%) were able to return to their normal daily work after ∼8 weeks. Conclusions - Tendon transfer is a standard procedure for radial nerve palsy but potential advantage of one method over the other has not been demonstrated. Brand's transfer results in an acceptable restoration of hand function. SN - 0976-5662 UR - https://www.unboundmedicine.com/medline/citation/32684701/Outcome_of_tendon_transfer_for_radial_nerve_palsy_using_Flexor_Carpi_Radialis_combination__Brands_transfer__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0976-5662(20)30180-6 DB - PRIME DP - Unbound Medicine ER -
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