Radial Nerve Palsy Tendon Transfer: A Mini-Incision Approach with Transfer to ECRL Instead of ECRB

Description

This video presents the surgical procedure of a radial nerve tendon transfer for a 25-year-old female patient suffering from radial nerve palsy due to a prior humeral shaft fracture and unsuccessful nerve repair. The discussion highlights the rationale behind choosing tendon transfer over other interventions like nerve repair when recovery seems unlikely.



The surgery employs smaller incisions to transfer the pronator teres tendon to the extensor carpi radialis longus (ECRL) or brevis (ECRB), aiming to restore wrist and finger function. The surgeon meticulously navigates through the forearm to identify and mobilize the necessary tendons, demonstrating the dissection techniques and the ability to access tendons without extensive openings. The surgery includes cauterization of minor veins, and careful preservation of surrounding nerves such as the median nerve.



Post-surgery, the video showcases functional assessments of the patient's hand movements, illustrating how the transfer facilitates forearm pronation and wrist extension. The patient's ability to make a fist and straightening fingers post-procedure is highlighted, indicating a successful outcome. Detailed steps of the surgical technique and patient interaction during the rehabilitation phase are presented, providing viewers with insights into both the technical and patient-centered aspects of the operation.

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