Fascial Augmentation Tenorrhaphy for Extensor Tendon Lacerations in the Forearm

Dawson, Courtney K.; Mudgal, Chaitanya S.

doi:10.1097/bth.0b013e3182444aa5

Cited by 1 publication

(3 citation statements)

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“…3, including PT-ECRB, FCR-EDC, and PL-flexor pollicis longus (FPL). 26 Technical tip: The preferred technique utilized by the senior author (C.M.) is the Jones transfer.…”

Section: Radial Nerve Injurymentioning

confidence: 99%

“…Use of the forearm fascia in this manner to augment a tendon repair is called fascial augmentation tenorrhaphy, and is a useful tool in augmenting tenuous tendon repairs or tendon transfers. 26 Setting tension: The first step is to transfer the PT to the ECRB. This is done with the wrist maintained in 50 to 60 degrees of extension and some length may be gained in the PT by flexion of the elbow.…”

Section: Radial Nerve Injurymentioning

confidence: 99%

Section: Radial Nerve Injurymentioning

confidence: 99%

See 2 more Smart Citations

Upper Extremity Tendon Transfers: A Brief Review of History, Common Applications, and Technical Tips

Gardenier

Garg

Mudgal

2020

Indian J Plast Surg

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Background Tendon transfer in the upper extremity represents a powerful tool in the armamentarium of a reconstructive surgeon in the setting of irreparable nerve injury or the anatomic loss of key portions of the muscle-tendon unit. The concept uses the redundancy/expendability of tendons by utilizing a nonessential tendon to restore the function of a lost or nonfunctional muscle-tendon unit of the upper extremity. This article does not aim to perform a comprehensive review of tendon transfers. Instead it is meant to familiarize the reader with salient historical features, common applications in the upper limb, and provide the reader with some technical tips, which may facilitate a successful tendon transfer. Learning Objectives (1) Familiarize the reader with some aspects of tendon transfer history. (2) Identify principles of tendon transfers. (3) Identify important preoperative considerations. (4) Understand the physiology of the muscle-tendon unit and the Blix curve. (5) Identify strategies for setting tension during a tendon transfer and rehabilitation strategies. Design This study was designed to review the relevant current literature and provide an expert opinion. Conclusions Tendon transfers have evolved from polio to tetraplegia to war and represent an extremely powerful technique to correct neurologic and musculotendinous deficits in a variety of patients affected by trauma, peripheral nerve palsies, cerebral palsy, stroke, and inflammatory arthritis. In the contemporary setting, these very same principles have also been very successfully applied to vascularized composite allotransplantation in the upper limb.

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“…3, including PT-ECRB, FCR-EDC, and PL-flexor pollicis longus (FPL). 26 Technical tip: The preferred technique utilized by the senior author (C.M.) is the Jones transfer.…”

Section: Radial Nerve Injurymentioning

confidence: 99%

Section: Radial Nerve Injurymentioning

confidence: 99%