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Tendon transfers of the shoulder can be technically challenging, but if performed well can significantly improve the quality of a patient’s life. Surgical skill is essential, but just as important is proper patient selection. Despite advances in
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that in most patients already having a spontaneous tenotomy, the tendon is also not available ( 30 , 31 ). Finally, tendon transfer may restore power and function in non-repairable and dysfunctional tears ( 10 ). Tendon transfers for massive cuff
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been described including soft-tissue release or lengthening and tendon transfers, hindfoot or midfoot osteotomy, or arthrodesis. Soft-tissue procedures Initially, the deformities are flexible and reversible but if the muscle imbalance remains
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Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
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.e. not caused by pain), but further evidence is needed on this point. Tendon transfer The use of tendon transfers can be considered in younger patients to improve rotation if the rotator cuff tear is irreparable ( 28 ). There is limited evidence
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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N: –0.9 ± 5.3 mm vs. 4.0 ± 5.2 mm, P = .005; 40 N: 2.1 ± 6.6 mm vs. 6.0 ± 5.7 mm, P = .035). 31 However, similar to previous biomechanical observations regarding isolated conjoint tendon transfer in 20% glenoid defects, DAS leads to a relevant
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procedures such as subscapularis tendon transfer, hemiarthroplasty and TSA. Reverse Hill Sachs lesions > 25% of the humeral head articular surface in size are often unstable after closed reduction and also require surgical intervention. Open reduction and
School of Medicine, University of Belgrade, Serbia
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School of Medicine, University of Belgrade, Serbia
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nerve can be repaired by direct suturing or nerve grafting. Other reconstructive procedures such as tendon transfers may also become necessary to overcome any permanent nerve dysfunction. Nerve transfers and functional free muscle transfers are currently
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posterior tibial tendon transfer. Exploration and neurolysis of the CPN is routinely performed as part of the approach during posterolateral corner repair/reconstruction and helps to avoid iatrogenic injury. 13 There is no evidence in the literature to
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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flexible paw toe deformity. If the claw toe deformity cannot be corrected, then the claw toe deformity is rigid. In general, passively correctable deformities can be corrected by tendon transfer, whereas rigid deformities require osteotomy ( 16 ). A
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grafting, nerve transfer and tendon transfer. The challenge for the treating orthopaedic surgeon lies in recognising high-grade nerve injuries such that prompt treatment may be instituted, while the selected lower-grade injuries may be released in a timely
