The supercharge end-to-side anterior interosseous to ulnar motor nerve transfer has gained popularity over the past decade as a method of augmenting intrinsic muscle reinnervation in patients with acute neurotmetic ulnar nerve injuries. Controversy remains regarding its efficacy and appropriate clinical indications in cubital tunnel syndrome, where the timing of onset of axonal loss is less clear. The authors present guidelines for patient selection, surgical technique, and postoperative rehabilitation based on their clinical experience with the technique in this patient population. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/PRS.0000000000006399 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Article Synopsis
- Nerve transfers can help restore function in patients with severe ulnar neuropathy, and a new technique called the super-turbocharged end-to-side (STETS) transfer has been developed to connect the abductor digiti minimi (ADM) nerve to the ulnar motor nerve for better recovery.
- A retrospective study involving 50 patients from 2020 to 2022 showed that those who underwent the STETS transfer experienced significant improvements in hand function and quality of life, measured through DASH scores and first dorsal interosseous muscle strength.
- The results indicate that the STETS method may lead to better outcomes than traditional nerve transfers, suggesting the need for further research to confirm these
Early and Late Intrinsic Hand Muscle Reinnervation After End-to-Side AIN to Ulnar Motor Nerve Transfer.
Hand (N Y)
November 2024
Division of Plastic and Reconstructive Surgery, Memorial University of Newfoundland, St. John's, Canada.
Article Synopsis
- - The study investigates the effectiveness of the "supercharge" end-to-side anterior interosseous nerve to ulnar motor nerve transfer in enhancing muscle recovery for patients with severe ulnar nerve damage, focusing on the first dorsal interossei and abductor digiti minimi muscles.
- - A review included 17 patients, primarily male with an average age of 55, and showed that while initial recovery in muscle action potential was limited, significant improvements were observed in muscle strength and action potential amplitudes for the abductor digiti minimi and first dorsal interossei at later follow-ups.
- - Although successful reinnervation was noted, the study concludes that the impact of targeting specific nerve fascicles during the procedure
Exploring Outcomes and Mediating Factors Following Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer: A Scoping Review With Expert Insight.
J Hand Surg Glob Online
September 2024
Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, London, Ontario, Canada.
Article Synopsis
- * The study reviewed 17 articles covering 300 patients, finding significant improvements post-surgery, particularly for conditions like cubital tunnel syndrome, while noting minor complications.
- * The conclusions emphasize the need for standardized measures, early surgical intervention, and thorough rehabilitation to enhance patient recovery and outcomes in nerve transfer surgeries.
Feasibility of a less invasive supercharged end-to-side anterior interosseous nerve to ulnar motor nerve transfer.
J Hand Surg Eur Vol
September 2024
Department of Orthopaedic and Traumatology Surgery, Hand Surgery and Microsurgery Unit, IIS-Fundación Jiménez Díaz, Madrid, Spain.
The object of this study was to perform an anatomical dissection of Thiel-embalmed specimens in a step-by-step procedure, to establish a 'safe zone' in which to perform a less invasive supercharged end-to-side (SETS) anterior interosseous nerve to ulnar motor nerve transfer without tension and to demonstrate its feasibility. The sample size was calculated with a 5 mm error to reach a 95% confidence interval. Dissection was performed in 15 specimens and the 'safe zone' was established between 40 and 90 mm proximal to the pisiform.
View Article and Find Full Text PDFCase Report: Supercharged end-to-side anterior interosseous to ulnar motor nerve transfer for ulnar nerve neuropathy after cross pinning of pediatric supracondylar humerus fracture.
Front Pediatr
September 2024
Department of Orthopedic Surgery, Kuang Tien General Hospital, Taichung, Taiwan.
Ulnar nerve neuropathy following pediatric supracondylar humerus fracture fixation with cross pinning poses challenges in management. Despite various treatment strategies, including conservative approaches and early intervention, achieving complete neural recovery remains elusive in some cases. This paper presents a novel approach utilizing supercharged end-to-side anterior interosseous nerve transfer for a 13-year-old patient who experienced persistent ulnar neuropathy after K-wire removal.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!