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
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