An Improved Technique of Posterior Deltoid to Triceps Transfer in Tetraplegia

Abstract

An improved technique to motorise the triceps is described whereby the bony insertion of the deltoid into the humerus is detached. Similarly the bony insertion of the triceps into the olecranon is detached and a 10 mm. width of this central section of the triceps tendon and aponeurosis reflected with its bony insertion. The two bony blocks are sutured together by stainless steel wire. This technique allows for early active mobilisation of the elbow which allows the patient early rehabilitation, prevents adhesions and eliminates the disadvantage of transferred tendons elongating. These complications were seen with earlier versions of motorisation of the triceps. Careful patient selection and pre-operative evaluation is of the utmost importance to achieve a successful motorised elbow extension procedure.