SURGICAL TECHNIQUES

Wrist extension

BR to ECRB transfer

Marc Revol, MD, Jean-Marie Servant, MD

(Service de Chirurgie Plastique. Hopital Saint-Louis. 75475 Paris Cedex 10. France)

 

 

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  BR is exposed.
     
  BR is dissected up to its vascular pedicle (anterior recurent radial artery) by the elbow crease. Transfer is performed into the ECRB tendon, according to the Pulvertaft procedure.
     
  Tension is set to a maximum when elbow is flexed at 90° and wrist flexed at 30°. This setting warrants that wrist flexion will not be impaired.
     
  In order to prevent rupture of the transfer, ECRL tendon is then sutured side-to-side on it.
     
  Transfer of BR is thus done both in ECRB and ECRL.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
   

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