Tubiana R
Ann Chir Main. 1985;4(3):197-210. doi: 10.1016/s0753-9053(85)80002-8.
Techniques of tendon transfers in the management of sequelae of radial paralysis have progressively been improved. The main modifications have concerned the operative details and the choice of procedures with the necessity of adapting the technique to the needs of the patient. In the case of a manual laborer whose job does not require special dexterity, it seems preferable to reinforce the extension of the wrist by using a flexor digitorum sublimis, especially in dominant hand. If, on the contrary, independence of flexion is required for each finger, the removal of a superficialis flexor tendon must be avoided. If the patient already has a tendency toward radial deviation before the operation, the flexor carpi ulnaris must be left in place. In all other cases, we prefer to transfer the flexor carpi ulnaris to the extensor digitorum communis as described in the technique we developed.
桡神经麻痹后遗症治疗中肌腱转移技术已逐步得到改进。主要的改进涉及手术细节以及手术方式的选择，需要根据患者的需求调整技术。对于工作不需要特殊灵巧性的体力劳动者，似乎最好使用指浅屈肌来加强腕关节伸展，尤其是在优势手。相反，如果需要每个手指独立屈曲，则必须避免切除浅屈肌腱。如果患者在手术前已有桡偏倾向，则必须保留尺侧腕屈肌。在所有其他情况下，我们更倾向于按照我们所开发的技术，将尺侧腕屈肌转移至指总伸肌。
