Tendon transfer application on hands and wrists in case of loss of function

Hand surgery specialist Dr. Instructor Member Kadir Uzel issued important warnings about tendon injuries. Dr. Instructor Member Kadir Uzel explained that the tendons provide hand and wrist movement, saying, “The muscles that start at the inside and outside of our elbow turn into cord-shaped structures called tendons at the wrist level and attach to the bones of the wrist and hand Tendons transfer the force produced by our muscles to bones and joints and provide our hand, wrist and finger movement Tendons that allow our fingers and wrists to bend inward are called flexor tendons and tendons that allow they can be lifted upwards are called extensor tendons.Tendon transfer is the process of surgically transferring the terminus from its original site to another tendon while preserving the blood vessel, nerve, and origin of a working tendon to regain hand functions in case of loss of movement for various reasons.

IT MAY ALSO BE EFFECTIVE FOR DELAYED NERVOUS INJURIES

dr. Instructor Prof. dr. Dr. Uzel states that tendon transfers can be performed after many injuries or illnesses: “In the case of delayed nerve injuries or if the functions of the muscles stimulated by the nerve do not improve despite nerve repair, tendon transfers can be performed. applied to restore the movements of the affected muscle. Delayed applications after tendon incisions cause the tendon ends to drift apart due to muscle pull and end-to-end repair cannot be performed. In these cases, function of the injured tendon can be regained by tendon transfer. Tendon transfer can be used in the treatment of spontaneous tendon ruptures due to rheumatic diseases. Tendon transfers can be used in the treatment of muscle dysfunctions that occur after brain damage due to cerebral palsy, stroke, trauma.

EACH TENDON IS TRANSFERRED TO A TASK

Dr. Instructor Lid Uzel said: “Before tendon transfer surgery, passive joint movements of the affected extremity should be open and soft tissue healthy. In order for the transferred tendon in tendon transfer surgery to not cause severe functional loss at its original site, it must be a sacrificial muscle tendon and the muscle strength must be complete or near complete. It is also recommended, if possible, to move each tendon for one task. A plaster cast is applied approximately 1 month after surgery. The cast is then removed and the physiotherapy process begins. Thus, with the contraction of the muscle of the transferred tendon, the movement that the transferred tendon should do is performed.

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