STRATEGY and INDICATIONS

Group 6

 

       

SITUATION

(see table)

Remaining functions
  • active flexion and extension of the elbow
  • active pronation and supination of the forearm
  • active and strong extension and flexion of the wrist
  • active extension of fingers MP joints
 
Paralysed functions
  • active flexion of the fingers
  • intrinsic functions of the fingers
  • all extrinsic and intrinsic functions of the thumb
 
Muscles available for transfers
  • BR
  • ECRL
  • (ECRI)
  • PT
  • (ECU in 1 case out of 2)
  • EDM
 
       
       
       
       

SUGGESTED

SURGICAL PROGRAM

(2 stages)

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