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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
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