Tendon Transfer to Reestablish Muscle Power
When you select a tendon to transfer, the muscle should be adequately strong to make up for the power of a paralyzed muscle. The blood and nerve supply of the transferred muscle should be preserved to prevent iatrogenic weakness. The tendon to be transferred should be securely attached with tension close to the insertion of a paralyzed tendon. It should also be routed in a direct line between its origin and the new insertion.
The transferred tendon will lose its strength by one grace. The transferred tendon will also remain in its own sheath to avoid fennels in fascia or bone or an interosseous membrane. This will help reduce adhesions. The joints where the muscle acts should be in a satisfactory position. All contracted structures should be released before the tendon is transferred. You can also choose an agonist muscle with the same range of movement of its tendon. Doctors may also recommend muscle transplantation to replace paralyzed muscle [5].