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A tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location. Tendon transfer involves redistribution of muscle power, not recreation. Tendons are transferred at the distal attachment from lesser to more important functions so that the overall function is improved.
After surgery, performance and satisfaction are rated again for each goal. A positive change is seen in patient-perceived performance and satisfaction with self-identified goals after tendon transfers. A good example of the use of the COPM can be found in a report published by Scott Kozin, [26] thirty-three goals for surgery were established ...
Hand surgeons going through these programs are trained in all aspects of hand surgery, combining and mastering all the skills traditionally associated with "Orthopedic hand surgeons" and "Plastic hand surgeons" to become equally adept at handling tendon, ligament and bone injuries as well as microsurgical reconstruction such as reattachment of ...
Paul Wilson Brand, CBE (17 July 1914 – 8 July 2003) was a pioneer in developing tendon transfer techniques for use in the hands of those with leprosy.He was the first physician to appreciate that leprosy is not a disease of the tissue but of the nerves: it is the loss of the sensation of pain which makes sufferers susceptible to injury and leads to tissue rotting away, especially in the ...
A man may regain the use of his hand, left paralysed by a severe road accident, thanks to a pioneering nerve transfer operation from his partly amputated leg, doctors in northern Italy said.
Additional muscle deficits can contraindicate tendon transfer, namely the serratus anterior muscle or the muscles-to-be-transferred themselves. Serratus anterior muscle deficit is another cause of scapular winging and decreases the efficacy of an Eden–Lange procedure, but it can be overcome with a simultaneous pectoralis major transfer .
Hand immediately after surgery, and completely healed Limited/selective fasciectomy removes the pathological tissue, and is a common approach. [ 40 ] [ 41 ] [ 42 ] A 2015 Cochrane review reported that low-quality evidence suggested that fasciectomy may be more effective for people with advanced Dupuytren's contractures.
Surgery involves excising the tissue or removing parts of the bone compressing the nerve. [citation needed] Many tendon transfers have been shown to restore opposition to the thumb and provide thumb and finger flexion. In order to have optimal results the individual needs to follow the following principles of tendon transfer: normal tissue ...