Tendon TransfersGeneral Principles

Panagiotis K. GivissisProfessor

Aristotle University of Thessaloniki

Chairman A΄ Orthopaedic Department

“G. Papanikolaou Hospital”

Tendon Transfers

Definition

Detachment

of a Functioning Muscle-Tendon Unit

from Its Insertion and

Reattachment

to another Tendon or Bone to Replace

the Function of a Paralyzed Muscle or

Injured Tendon

wrist in 45° of extension

Tendon Transfers

Indications

⚫ Restore Function to a Muscle Paralyzed as a Result of Injury of

Peripheral Nerves

Brachial Plexus

Spinal Cord

⚫ To Restore Function after closed Tendon Ruptures or Open Injuries to the Tendons or Muscles

⚫ Restore Balance to a Hand Deformed from Neurological Conditions

Example:EPL Rupture after distal Radius fracture

EIP Harvesting

EIP Rerouting

EIP Rerouting

Pulvertraft Weave

EIP to EPL Final Result

The power of tendon transfers

32 y

Male

Gun shot injury to his left arm (Self – harm)

No other injuries

4 months down the road

?

Surgery plan

1η

2η 3η

PT to ECRB

FCR to EDC

FDS IV to EPL

Final Result

Final Result

1st

2nd

3rd

4th

5th

Laboratory of Anatomy, A.U.T.H.

Professor Battiston, Italy

Professor Georgescu, Romania

Professor Givissis, Greece