Abstract：
OBJECTIVE: This study aimed to evaluate the outcomes of the tendon transfer from a reinnervated triceps to biceps in the context of total brachial plexus palsy.
METHODS: We conducted a retrospective study. Patients had reinnervation of the triceps either by spontaneous recovery or by nerve transfer. Functional results were assessed by strength and range of motion. The level of patient satisfaction was measured on a scale from 0 to 10.
RESULTS: Six patients (6 transfers) were included. Two triceps had spontaneous reinnervation and the other four through neurotization of intercostal nerves. All patients recovered strength to M4 in flexion with an average secondary deficit of 10° (5°-15°). The mean level of satisfaction was measured at 7/10 (6-8).
CONCLUSIONS: This tendon transfer is a reliable and simple solution for supportive restoration of elbow flexion. Systematic reinnervation of active extension of the elbow should be proposed for the gain in function that it represents but also for the supportive therapeutic opportunity that it offers should nerve surgery for elbow flexion fail.
METHODS:
METHODS: We conducted a retrospective study. Patients had reinnervation of the triceps either by spontaneous recovery or by nerve transfer. Functional results were assessed by strength and range of motion. The level of patient satisfaction was measured on a scale from 0 to 10.
RESULTS: Six patients (6 transfers) were included. Two triceps had spontaneous reinnervation and the other four through neurotization of intercostal nerves. All patients recovered strength to M4 in flexion with an average secondary deficit of 10° (5°-15°). The mean level of satisfaction was measured at 7/10 (6-8).
CONCLUSIONS: This tendon transfer is a reliable and simple solution for supportive restoration of elbow flexion. Systematic reinnervation of active extension of the elbow should be proposed for the gain in function that it represents but also for the supportive therapeutic opportunity that it offers should nerve surgery for elbow flexion fail.
METHODS:
摘要：
目的：本研究旨在评估在臂丛神经麻痹的情况下，肌腱从神经支配的三头肌转移到二头肌的结果。
方法：我们进行了一项回顾性研究。通过自发恢复或神经转移，患者的肱三头肌神经得到了恢复。通过强度和运动范围评估功能结果。患者满意度以0至10的量表进行测量。
结果：纳入6例患者（6例转诊）。两头三头肌自发神经支配，另外四头肌通过肋间神经神经化。所有患者在屈曲时恢复到M4的力量，平均次要缺陷为10°（5°-15°）。平均满意度为7/10（6-8）。
结论：这种肌腱转移是支持肘关节屈曲恢复的可靠且简单的解决方案。为了获得所代表的功能，还应提出对肘关节主动伸展进行系统神经支配的建议，以及在肘关节屈曲的神经外科手术失败时提供的支持性治疗机会。
方法：
方法：我们进行了一项回顾性研究。通过自发恢复或神经转移，患者的肱三头肌神经得到了恢复。通过强度和运动范围评估功能结果。患者满意度以0至10的量表进行测量。
结果：纳入6例患者（6例转诊）。两头三头肌自发神经支配，另外四头肌通过肋间神经神经化。所有患者在屈曲时恢复到M4的力量，平均次要缺陷为10°（5°-15°）。平均满意度为7/10（6-8）。
结论：这种肌腱转移是支持肘关节屈曲恢复的可靠且简单的解决方案。为了获得所代表的功能，还应提出对肘关节主动伸展进行系统神经支配的建议，以及在肘关节屈曲的神经外科手术失败时提供的支持性治疗机会。
方法：
