Split distal flexor pollicis longus tenodesis: long-term results

Abstract

A thumb lacking intrinsic muscle function but having extrinsic flexion will hyperflex in the interphalangeal joint giving a positive Froment's sign. This can effectively be prevented with split flexor pollicis longus tenodesis. The mean postoperative range of motion in the IP joint of 39 hands was 28 (18) degrees and 23 (20) degrees six and 12 months postoperatively. The procedure makes arthrodesis (temporary or permanent) superfluous. This procedure can be recommended strongly.

Upper extremity reconstruction in non-traumatic spinal cord injuries: An under-recognized opportunity

“…Researching the literature, we found 2 previous reports on functional surgery in NT tetraplegia. One patient operated in our unit (patient number 5) was mentioned in a series of flexor pollicis longus distal thumb tenodesis, but no details of the overall surgical concept and result of the bilateral reconstruction were given (21). landi and co-workers (22) reported a highly exceptional case of a boy with incomplete paralysis after transverse myelitis in whom upper extremity surgery ultimately led to deterioration of his overall functional level.…”

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

“…12 Reconstructive arm and hand surgery has the potential to improve both passive and active function in the arm and hand in patients with cervical SCI. 13,14 The basis for treatment is the patient's needs and desires as well as the remaining motor and sensory functions in the upper extremities, with no restrictions related to age or time since injury. 15 Even though hand function is of the utmost importance for independence in ADL, the evaluation of reconstructive hand surgery has hitherto been focused more on assessing function than activity.…”

The Extensor Pollicis Longus-Loop-Knot (ELK) Procedure for Dynamic Balance of the Paralyzed Thumb Interphalangeal Joint

“…6,7 This operation is much easier and quicker to perform than the FPL split method; however, it can equally secure the optimal setting of IP flexion for thumb-to-index pinch. 6,7 This operation is much easier and quicker to perform than the FPL split method; however, it can equally secure the optimal setting of IP flexion for thumb-to-index pinch.…”