title: Surgical technique: posterior deltoid-to-triceps transfer in tetraplegic patients.
abstract: Several surgical techniques exist for restoring triceps function in tetraplegic patients. The goal is to establish a more synchronized, better controlled arm that allows increased self-sufficiency and further reconstructive surgery on the hand. To obtain the most secure fixation, adjust the tension, and allow early mobilization, the technique we prefer uses the central tendon of the triceps muscle and bony block fixation reinforced by the palmaris longus.
authors.affiliation: Department of Orthopedic Surgery and Division of Plastic Surgery, Baylor College of Medicine, Houston, TX, USA. netscher@bcm.edu
authors.forename: David T
authors.initials: DT
authors.lastname: Netscher
authors.forename: Brinkley K
authors.initials: BK
authors.lastname: Sandvall
mesh_terms: D001132:Arm / Q000503:physiopathology / Q000601:surgery*; D057645:Deltoid Muscle / Q000601:surgery / Q000637:transplantation*; D004551:Elbow Joint / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D018482:Muscle, Skeletal / Q000601:surgery / Q000637:transplantation; D011782:Quadriplegia / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome