reconstructive tendon transfer in hand reccomended - any experience
Posted: Fri May 08, 2009 5:31 am
A little over 2 years post injury, prognosis is this is probably as good as its gonna get in terms of bpi recovery.
The work comp eval reccomended a hand specialist consult for tendon transfer to improve hand function. We had the consult but were not very optimistic going into it since the injury wasn't to his hand directly.
The hand/arm/shoulder specialist explanation was that that he cannot do anything for the bpi directly but because he does have some movment control in his hand that he is a canidate for the tendon transfer surgery(s).
They will not be transferring any muscles or tendons simply transferring the the connection points of the exsisting tendons.
The expectation is that over a course of 2-3 surgeries with approx 4-6 months of intensive theapy in between they can "re-route" the tendons that are currently working to do different things which would allow him some ability to grip things. One would focus on rerouting the tendons in each finger seperately to allow fingers to bend from the hand not simply curl at the knuckles. This may actually require 2 surgeries. The next surgery would be to reroute tendon connecting his thumb around the back of his hand and allow him to move his thumb across his hand.
These surgeries would not affect the injured nerves and would have no impact on pain or sensation but simply have the tendons that do work to work differently.
Has anyone had any experience or information about surgeries similar to this?
The work comp eval reccomended a hand specialist consult for tendon transfer to improve hand function. We had the consult but were not very optimistic going into it since the injury wasn't to his hand directly.
The hand/arm/shoulder specialist explanation was that that he cannot do anything for the bpi directly but because he does have some movment control in his hand that he is a canidate for the tendon transfer surgery(s).
They will not be transferring any muscles or tendons simply transferring the the connection points of the exsisting tendons.
The expectation is that over a course of 2-3 surgeries with approx 4-6 months of intensive theapy in between they can "re-route" the tendons that are currently working to do different things which would allow him some ability to grip things. One would focus on rerouting the tendons in each finger seperately to allow fingers to bend from the hand not simply curl at the knuckles. This may actually require 2 surgeries. The next surgery would be to reroute tendon connecting his thumb around the back of his hand and allow him to move his thumb across his hand.
These surgeries would not affect the injured nerves and would have no impact on pain or sensation but simply have the tendons that do work to work differently.
Has anyone had any experience or information about surgeries similar to this?