A new "puppet procedure" for functional movement of totally deanimated tri-nerve paralysis below the elbow.

A new procedure has been described to provide functional reconstruction in the rare occurrence of paralysis of the median, ulnar, and radial nerves below the elbow. When the only function that remains is elbow flexion and extension, various tenodeses can be accomplished to use the elbow motion to power finger flexion and extension against a nonmoving thumb acting as a functional post.