Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion.

ABSTRACT:

Introduction

The main deformity following an adult lower brachial plexus injury is the loss of finger flexion. Distal nerve transfers have been used to restore finger and thumb flexion followed by tendon transfers for intrinsic replacement for opening of the fingers. When patients present beyond 6 months, only tendon transfers are applicable. Since the brachioradialis (BR) is always spared in such injuries, it is the ideal muscle to provide finger flexion. Wrist extensor power may not be normal for the use of the radial wrist extensor to serve as donor. BR to FDP transfer provides reasonable flexion range and an acceptable hand function to permit activities of daily living, when associated with ancillary procedures like opponensplasty, PIPJ arthrodesis.

Materials and methods

SUBMITTER: Srikanth R 

PROVIDER: S-EPMC6219348 | biostudies-literature | 2018 May-Aug

REPOSITORIES: biostudies-literature