scholarly journals A modular tension-adjusting splint for tendon transfer in reconstructive surgeries of extremities

2006 ◽  
Vol 39 (02) ◽  
pp. 185-188
Author(s):  
B Kamath Jagannath ◽  
Bhardwaj Praveen
Keyword(s):  
Tendon Transfer ◽  
Age Groups ◽  
Final Outcome ◽  
Proper Position ◽  
Tendon Transfers ◽  
User Friendly ◽  
Outcome Of Surgery

ABSTRACTOptimal tension during tendon transfer is the most important surgeon-controlled factor, which determines the final outcome of surgery. To attain optimal tension, the joints have to be maintained in proper position during the final attachment of the transferred tendon. Maintaining this desired position requires one extra assistant and is difficult. We herein describe a modular splint designed by us, which can be used for most of the commonly done tendon transfers in practice. It is very versatile as it can be used for all the age groups and for both right and left sides. A single splint, which is autoclavable and can be used for most commonly done tendon transfers, makes it user-friendly

Radial Nerve Palsy: Nerve Transfer Versus Tendon Transfer to Restore Function

Hand ◽  
2021 ◽  
pp. 155894472098812
Author(s):  
J. Megan M. Patterson ◽  
Stephanie A. Russo ◽  
Madi El-Haj ◽  
Christine B. Novak ◽  
Susan E. Mackinnon
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Pinch Strength ◽  
Radial Nerve Palsy ◽  
Nerve Injuries ◽  
Tendon Transfers ◽  
Nerve Transfers ◽  
Transfer Group

Background: Radial nerve injuries cause profound disability, and a variety of reconstruction options exist. This study aimed to compare outcomes of tendon transfers versus nerve transfers for the management of isolated radial nerve injuries. Methods: A retrospective chart review of 30 patients with isolated radial nerve injuries treated with tendon transfers and 16 patients managed with nerve transfers was performed. Fifteen of the 16 patients treated with nerve transfer had concomitant pronator teres to extensor carpi radialis brevis tendon transfer for wrist extension. Preoperative and postoperative strength data, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, and quality-of-life (QOL) scores were compared before and after surgery and compared between groups. Results: For the nerve transfer group, patients were significantly younger, time from injury to surgery was significantly shorter, and follow-up time was significantly longer. Both groups demonstrated significant improvements in grip and pinch strength after surgery. Postoperative grip strength was significantly higher in the nerve transfer group. Postoperative pinch strength did not differ between groups. Similarly, both groups showed an improvement in DASH and QOL scores after surgery with no significant differences between the 2 groups. Conclusions: The nerve transfer group demonstrated greater grip strength, but both groups had improved pain, function, and satisfaction postoperatively. Patients who present early and can tolerate longer time to functional recovery would be optimal candidates for nerve transfers. Both tendon transfers and nerve transfers are good options for patients with radial nerve palsy.

Surgical Treatment of the Clasped Thumb

1989 ◽  
Vol 14 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Esther Lipskeir ◽  
M. Weizenbluth
Keyword(s):  
Surgical Treatment ◽  
Tendon Transfer ◽  
Pathological Feature ◽  
Tendon Transfers ◽  
Extensor Tendons ◽  
The Third ◽  
First Ray ◽  
Intrinsic Muscles

We report a series of 12 patients (19 hands) with clasped thumb who underwent surgical treatment. The series is divided into three groups. In the first group, the prominent pathological feature was hypoplasia of the extensor tendons which was treated by tendon transfer. The second group, the arthrogryphotic type, had contracture of the intrinsic muscles of the thumb and shortening of the skin; these needed mainly release operations. In only three hands out of nine was tendon transfer performed. The third group was defined by a combination of skeletal, muscular and tendon hypoplasia. Instability of the M.P. joint and adduction contracture of the first ray were found in all hands of this group. The adduction deformity was corrected by skin-plasty of the first web and the extension was improved by tendon transfers. Only one case needed stabilisation of the M.P. joint. The final results were related to the extent of the contractures and to the age of the patient when treatment started.

Impact of Digital Marketing on ICDL 2016 Event Promotion

2020 ◽  
pp. 216-230
Author(s):  
Reeta Sharma ◽  
P. K. Bhattacharya ◽  
Shantanu Ganguly ◽  
Arun Kumar
Keyword(s):  
Social Media ◽  
Digital Media ◽  
Human Life ◽  
Age Groups ◽  
Digital Marketing ◽  
The World ◽  
Knowledge Economies ◽  
Media Channels ◽  
User Friendly

Today's world is technology-driven. Technology has penetrated almost every sphere of human life. Digital marking is one of the technologies that have attracted people from different age groups all over the world with their advanced nature of applications and uses. One of the foremost reasons why patrons like to use this technology is because these are not only user-friendly in nature and innovativeness but also carry the knowledge economies. Marketing and branding through digital media channels are very decent ventures that have steadily increased in value and are thereby considered safe and secure investments. In this chapter, the authors discuss a case study of ICDL 2016 conference where social media and other technology is widely used to market this event and catch prospective users.

Operative Management of Foot and Ankle Equinovarus Associated with Focal Dystonia

1998 ◽  
Vol 19 (4) ◽  
pp. 229-231 ◽  
Author(s):  
Thomas J. Moore ◽  
William Evans ◽  
Douglas Murray
Keyword(s):  
Tendon Transfer ◽  
Operative Management ◽  
Clinical Results ◽  
Focal Dystonia ◽  
Functional Improvement ◽  
Foot And Ankle ◽  
Tendon Transfers ◽  
Anterior Tibial ◽  
Clinically Significant

Six surgical procedures, consisting of tendon transfers and releases, were performed in five patients with idiopathic focal dystonia involving the lower extremity. All patients were female. Surgical management was performed to correct clinically significant foot abnormalities. The goal of each procedure was functional improvement and obtaining a plantigrade foot. The SPLATT (split anterior tibial tendon transfer) procedure was performed in each foot with a flexible equinovarus foot abnormality. Follow up at a mean of 27.2 months (range, 8–40 months) yielded satisfactory clinical results without significant complications. Clinical equinovarus has not recurred after this procedure. All patients remain brace-free ambulators.

scholarly journals PSYCHOLOGICAL FEATURES OF SELF-CONCEPT OF THE TEENAGERS WITH SUBJECTIVE EXPERIENCE OF LONELINESS

2019 ◽  
pp. 135-139
Author(s):  
О. Помазова
Keyword(s):  
Subjective Experience ◽  
Satisfaction With Life ◽  
Age Groups ◽  
Modern Society ◽  
Self Esteem ◽  
Self Concept ◽  
Proper Position ◽  
Single Factor Analysis ◽  
Psychological Features ◽  
The Given

Relevance of the problem:Urgency of the research presented in the given paper is caused by spreading of problem of loneliness in the modern society, recognition of loneliness to be one of reasons of teenagers’ deviating behavior, lack of researches of correlation between the subjective loneliness experience of teenagers and their self-concept formation as a new formation of the given age. Aim:determination of specificity of correlation between self-concept and the subjective loneliness experience of teenagers of different age groups. Methodology of the research: subjective loneliness experience diagnostics by D. Russell and M. Ferguson, teenagers’ self-concept research methods by E. Piers and D. Harris in modification of A. M. Prikhozhan (324 pupils of 5-9 forms of 10-15 years old); means of a single-factor analysis of variance, Student t-test for independent samples, and correlation analysis according to Pearson’s method. Results of the research. There are distinctions in self-concept indices of teenagers with various levels of the subjective loneliness experience. It was defined that in the course of time the number of self-concept parameters of the teenagers’ connected with the subjective loneliness experience increases. For the group of 10-11 years old teenagers such parameters as anxiety, acceptance of situation at school, self-esteem of physical attraction and satisfaction with communication with age mates are characteristic. In the group of 12-13 years old teenagers the parameters mentioned above are accompanied by self-attitude, satisfaction with life situation, satisfaction with proper position in the family, and in the group of 14-15 years old teenagers – by intelligence self-esteem. In addition, frequency and intensity of the subjective loneliness experience has a tendency to increase from 10-11 to 12-13 years old and to further decrease at 14-15 years old.

Reconstruction after nerve injury

2011 ◽  
Author(s):  
T.E.J. Hems
Keyword(s):  
Nerve Injury ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Common Type ◽  
Radial Nerve Palsy ◽  
Reconstructive Procedures ◽  
Tendon Transfers ◽  
Ulnar Nerve Palsy ◽  
Intrinsic Paralysis ◽  
Median Nerve Injury

♦ Late reconstructive procedures may improve function if there is persisting paralysis after nerve injury♦ Transfer of a functioning musculotendinous unit to the tendon of the paralysed muscle is the most common type of procedure♦ Passive mobility must be maintained in affected joints before tendon transfer can be performed♦ The transferred muscle should be expendable, have normal power, and have properties appropriate to the function it is required to restore♦ Tendon transfers can provide reliable improvement in function after isolated radial nerve palsy♦ A number of procedures have been described for reconstruction of thumb opposition but impaired sensation after median nerve injury may limit gain in function♦ Tendon transfers are possible to improve clawing of fingers and lateral pinch of the thumb after ulnar nerve palsy or other cases of intrinsic paralysis.

scholarly journals Upper Extremity Tendon Transfers: A Brief Review of History, Common Applications, and Technical Tips

2020 ◽  
Vol 53 (02) ◽  
pp. 177-190
Author(s):  
Jason Gardenier ◽  
Rohit Garg ◽  
Chaitanya Mudgal
Keyword(s):  
Cerebral Palsy ◽  
Peripheral Nerve ◽  
Upper Extremity ◽  
Upper Limb ◽  
Inflammatory Arthritis ◽  
Tendon Transfer ◽  
Learning Objectives ◽  
Vascularized Composite Allotransplantation ◽  
Comprehensive Review ◽  
Tendon Transfers

Abstract Background Tendon transfer in the upper extremity represents a powerful tool in the armamentarium of a reconstructive surgeon in the setting of irreparable nerve injury or the anatomic loss of key portions of the muscle-tendon unit. The concept uses the redundancy/expendability of tendons by utilizing a nonessential tendon to restore the function of a lost or nonfunctional muscle-tendon unit of the upper extremity. This article does not aim to perform a comprehensive review of tendon transfers. Instead it is meant to familiarize the reader with salient historical features, common applications in the upper limb, and provide the reader with some technical tips, which may facilitate a successful tendon transfer. Learning Objectives (1) Familiarize the reader with some aspects of tendon transfer history. (2) Identify principles of tendon transfers. (3) Identify important preoperative considerations. (4) Understand the physiology of the muscle-tendon unit and the Blix curve. (5) Identify strategies for setting tension during a tendon transfer and rehabilitation strategies. Design This study was designed to review the relevant current literature and provide an expert opinion. Conclusions Tendon transfers have evolved from polio to tetraplegia to war and represent an extremely powerful technique to correct neurologic and musculotendinous deficits in a variety of patients affected by trauma, peripheral nerve palsies, cerebral palsy, stroke, and inflammatory arthritis. In the contemporary setting, these very same principles have also been very successfully applied to vascularized composite allotransplantation in the upper limb.

Single Versus Double Tendon Transfer to Improve Shoulder External Rotation During the Treatment of Brachial Plexus Birth Palsy

Hand ◽  
2020 ◽  
pp. 155894472091121
Author(s):  
Joshua M. Abzug ◽  
Elie Miller ◽  
Alexandria L. Case ◽  
Danielle A. Hogarth ◽  
Dan A. Zlotolow ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Internal Rotation ◽  
Tendon Transfer ◽  
External Rotation ◽  
Significant Loss ◽  
Tendon Transfers ◽  
Brachial Plexus Birth Palsy ◽  
Shoulder External Rotation ◽  
Birth Palsy ◽  
Single Versus

Background: Tendon transfers are commonly performed in patients with brachial plexus birth palsy (BPBP) to improve function. Transferring 2 tendons in patients with C5-7 injury has the potential complication of loss of midline function. The purpose of this study was to investigate whether a single tendon transfer (1TT) as opposed to the traditional double tendon transfer (2TT) resulted in any differences in functional outcomes in patients with C5-7 BPBP. Methods: A retrospective review of all patients with C5-7 BPBP who underwent tendon transfers to improve shoulder external rotation over a 5-year period was performed at 2 institutions. Outcomes were assessed using the modified Mallet (MM) classification scores. Results: Twenty-two C5-7 patients had complete records of preoperative and postoperative MM scores, including 11 sex-matched patients in both the 1TT and 2TT groups. When comparing preoperative and postoperative MM categories, there were significant improvements in both the 1TT and 2TT groups for global abduction ( P < .05 and P < .01, respectively) and external rotation ( P < .00001 for both). Modified Mallet (MM) hand to neck scores were significantly improved in the 2TT group ( P < .05) but not in the 1TT group ( P = .053). Internal rotation scores significantly decreased in both groups ( P < .001). Both groups demonstrated significant increases in total scores from the preoperative MM scores ( P < .01). Conclusion: The 1TT and 2TT procedures result in substantial gains in upper extremity functions for patients with C5-7 BPBP as measured by the MM score, specifically within the global abduction and external rotation subcategories. However, a significant loss occurs in internal rotation for both groups.

Investigation of Repeatability of Peak Nasal Inspiratory Flow Rate Measurements Under Baseline Conditions and After Administration of 0.05% Oxymetazoline

2021 ◽  
pp. 194589242110155
Author(s):  
Anna Dor-Wojnarowska ◽  
Anna Radlińska ◽  
Marek Rabski ◽  
Andrzej Fal ◽  
Jerzy Liebhart ◽  
...  
Keyword(s):  
Age Groups ◽  
Threshold Value ◽  
Inspiratory Flow ◽  
Repeated Measurements ◽  
Nasal Patency ◽  
Inspiratory Flow Rate ◽  
Significant Difference ◽  
The Difference ◽  
User Friendly ◽  
Peak Nasal Inspiratory Flow

Objectives Peak nasal inspiratory flow (PNIF) measurement is an inexpensive and user-friendly method to assess nasal patency. However, the repeatability of PNIF measurements, as well as the threshold value of a change in PNIF, which can be considered significant remain unclear. This study aims to investigate the repeatability of PNIF measurements and the change in PNIF after the administration of 0.05% oxymetazoline. Methods Repeated measurements of PNIF (Clement Clarke In-Check nasal inspiratory flow meter; Clement Clarke International, Ltd, Harlow, Essex, UK) were obtained in 333 healthy volunteers (174 women). Based on age, participants were categorized into three groups (6–7 years, 13–14 years, and 20–45 years). We obtained five measurements in each participant. PNIF was remeasured in 294 subjects 30 min after administration of 0.05% oxymetazoline. The variability in PNIF measurements was assessed using the coefficient of variation (CV = standard deviation × 100%/mean). Results The first four PNIF measurements significantly differed from each other. The difference in PNIF measurements ceased to be statistically significant only between the fourth and fifth measurements (p = 0.19). PNIF repeatability was acceptable; the median CV was 15.5% (0–66), which did not significantly differ between age groups. The administration of 0.05% oxymetazoline led to a statistically significant increase in the PNIF value by 14.3% (−45, 157%) (p = 0.000000). Conclusions 1. No statistically significant difference was observed in PNIF values only between the fourth and fifth measurements; therefore, at least three measurements are essential to draw meaningful conclusions. 2. PNIF measurements were satisfactorily characterized by a relatively low CV (15%). 3. The administration of 0.05% oxymetazoline led to an increase in PNIF by approximately 14% over the baseline value.

scholarly journals Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion

2018 ◽  
Vol 51 (02) ◽  
pp. 123-130 ◽  
Author(s):  
R. Srikanth ◽  
Koteswara Rao Rayidi ◽  
Subha Kakumanu
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Tendon Transfer ◽  
Hand Function ◽  
Flexor Digitorum Profundus ◽  
Tendon Transfers ◽  
Wrist Extensor ◽  
Nerve Transfers ◽  
Finger Flexion ◽  
Flexor Digitorum

ABSTRACT Introduction: The main deformity following an adult lower brachial plexus injury is the loss of finger flexion. Distal nerve transfers have been used to restore finger and thumb flexion followed by tendon transfers for intrinsic replacement for opening of the fingers. When patients present beyond 6 months, only tendon transfers are applicable. Since the brachioradialis (BR) is always spared in such injuries, it is the ideal muscle to provide finger flexion. Wrist extensor power may not be normal for the use of the radial wrist extensor to serve as donor. BR to FDP transfer provides reasonable flexion range and an acceptable hand function to permit activities of daily living, when associated with ancillary procedures like opponensplasty, PIPJ arthrodesis. Materials and Methods: Eleven patients underwent a BR to FDP tendon transfer between January 2013 and January 2017 of which eight patients came for follow-up. Results: Four of the eight patients got a functionally useful hand to carry out activities of daily living with hook grip, span grasp, key pinch, chuck grip and pulp pinch. These patients also underwent simultaneous or secondary ancillary procedures. Four of the patients need secondary procedures to further improve functionality of the hand inspite of having a flexion range. Conclusion: The BR is an effective donor in providing adequate range and power of finger flexion in lower plexus injuries.

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