Tendontransfers

Tendontransfers, also known as tendon transfers or tendon grafts, are surgical procedures used to restore function to a limb or body part when a muscle or tendon has been damaged, paralyzed, or lost. The fundamental principle involves rerouting a healthy, functional tendon to replace the function of a non-functional one. This is typically achieved by taking a portion of a strong, active tendon from one part of the body and attaching it to the bone or other structure where the damaged tendon was originally anchored.

The goal of a tendontransfer is to reanimate a weakened or paralyzed muscle by harnessing the power of a functioning muscle. For example, in cases of nerve damage affecting a specific muscle group in the hand or foot, a surgeon might transfer a tendon from a muscle that is still under voluntary control to enable movement in the affected area. This can help regain essential functions like grasping, walking, or pointing.

The success of a tendontransfer relies heavily on careful surgical technique and a comprehensive rehabilitation program. Post-operative physical therapy is crucial for the patient to learn to control the transferred tendon and to strengthen the involved muscles. The recovery process can be lengthy, often involving several months of therapy to regain optimal function. Tendontransfers are employed in a variety of conditions, including nerve injuries, polio, cerebral palsy, and congenital limb deficiencies.