STRATEGY and INDICATIONS

Group 1

 

       

SITUATION

(see table)

Remaining functions
  • active flexion of the elbow (BR grade 4)
 
Paralysed functions
  • active extension of the elbow
  • active extension and flexion of the wrist
  • all extrinsic and intrinsic functions of the fingers and thumb
 
Muscle available for transfers
  • BR only
 
       
       
       
       

SUGGESTED

SURGICAL PROGRAM

(2 stages)

1st surgical stage  
2nd surgical stage Postoperative immobilization : 4 weeks (elbow in flexion at 90, wrist in extension, fingers MP joints in flexion, thumb in abduction and antepulsion)