Tendon Transfers General Principles - Livemedia.gr...Tendon Transfers General Principles Panagiotis...
Transcript of Tendon Transfers General Principles - Livemedia.gr...Tendon Transfers General Principles Panagiotis...
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Tendon TransfersGeneral Principles
Panagiotis K. GivissisProfessor
Aristotle University of Thessaloniki
Chairman A΄ Orthopaedic Department
“G. Papanikolaou Hospital”
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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
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wrist in 45° of extension
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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
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Example:EPL Rupture after distal Radius fracture
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EIP Harvesting
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EIP Rerouting
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EIP Rerouting
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Pulvertraft Weave
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EIP to EPL Final Result
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The power of tendon transfers
32 y
Male
Gun shot injury to his left arm (Self – harm)
No other injuries
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4 months down the road
?
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Surgery plan
1η
2η 3η
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PT to ECRB
FCR to EDC
FDS IV to EPL
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Final Result
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Final Result
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1st
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2nd
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3rd
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4th
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5th
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Laboratory of Anatomy, A.U.T.H.
Professor Battiston, Italy
Professor Georgescu, Romania
Professor Givissis, Greece