A Unique Case of Restoration of Finger Flexion using Triceps to Biceps Transfer

Abstract

A global brachial plexus palsy injury is a challenging problem because of the very limited donor nerve options for restoration of the function of the upper limb. The condition becomes extremely complex when one is dealing with a case of failed previous nerve surgery wherein the available nerves have already been used. In such situations, free functioning muscle transfer is the usual choice; however, a proximal vascular injury could preclude this option too. In this study, we present a unique case of restoring finger flexion using the triceps–biceps complex transfer to the finger flexors using a fascia lata graft. The patient was quite satisfied with the grasp achieved by this procedure. Level of Evidence: V.