Tetraplegia-Tendon Transfers for Various Palsies

Video Transcription

Video Summary

In this video, Dr. Scott Kozin demonstrates tendon transfers for tetraplegia, focusing on patients with C5-C6 level injury. He discusses the principles of surgery in tetraplegia and the hierarchy of hand function. Dr. Kozin performs a biceps or triceps transfer to improve elbow extension and explains the preference for the biceps transfer based on research results. He then demonstrates a tendon transfer using the brachioradialis muscle to improve lateral pinch and discusses the option of utilizing the longest muscle for grasp. The importance of achieving proper excursion for successful tendon transfers is emphasized.<br /><br />Dr. Kozin provides informative explanations and tips throughout the video, guiding the viewer through the procedures. He demonstrates how to locate and mobilize the brachioradialis and longest muscles, protect the radial artery and sensory nerve, and split the FPL tendon for lateral pinch. The video showcases the surgical techniques involved in tendon transfers for tetraplegia to improve elbow extension, lateral pinch, and grasp in C5-C6 injured patients.<br /><br />In addition, the video also includes a different surgery where the surgeon performs an ulnar nerve release procedure. They discuss the challenges of identifying the ulnar nerve, cutting muscles off the ulna, and avoiding collateral nerve damage. The surgeon dissects through the tissue, finding the median nerve and brachialis tendon, ensuring proper tension for the transfer, and mentions the use of a Ghani flap for closing the web space.<br /><br />Overall, this video provides insights into the surgical techniques and considerations involved in tendon transfers for tetraplegia, along with an ulnar nerve release procedure.

Keywords

tendon transfers

tetraplegia

C5-C6 level injury

surgery principles

hand function hierarchy

biceps transfer

triceps transfer

elbow extension

brachioradialis muscle

lateral pinch

grasp

proper excursion

ulnar nerve release procedure