Restoration of Adduction of Thumb and Abduction of Index Finger

Adduction of Thumb

1. Boyes

Brachioradialis throgh 3rd interosseous space to dorsum  to thumb adductor tubercle along with

tendon graft of Palmaris Longus (PL ) or  Plantaris

Post-operatively - cast removal at 3 weeks and active exercises



2. Royle Thompson transfer (modified )

FDS ring finger transferred dorsoradially like Riordan , divided into two slips .


Distal one - appeoneurosis with EPL

Proximal slip - MCP joint capsule and Adductor Pollicis




Abduction of IF

1.EIP transfer

2. Abduction Pollicis Longus transfer