Advantages of simultaneous radial nerve andtendon reconstruction – a case report

T. Kempný¹, T. Votruba^2,3, Z. Xani⁴, F. Ramadani⁴, B. Lipový¹, Z. Dvořák², J. Holoubek¹, J. Bartková¹

1 Department of Burns and Plastic Surgery, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic

2 Department of Plastic and Aesthetic Surgery, St. Anne’s University Hospital Brno and Faculty of Medicine, Masaryk University, Brno,
Czech Republic

3 Department of Plastic Surgery, Hospital České Budějovice, Czech Republic

4 Department of Orthopaedic and Trauma, American Hospital of Kosovo, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo

Summary
Transection of the radial nerve is frequently associated with humeral shaft fractures that are part of a very complex upper extremity injury. In
the presented case, a 19-year-old man with a 10-cm radial nerve defect with a need for nerve grafting to recover complete sensory and motor
deficit of the radial nerve. In our case, at the same time we provided the tendon transfer of musculus (m.) pronator teres to m. extensor carpi
radialis brevis, m. flexor carpi ulnaris to m. extensor digitorum communis, m. palmaris longus to m. extensor pollicis longus, and long sural nerve
graft because of an extensive zone of the injury. The assumption was that if these two procedures are performed in one surgery, it will accelerate
overall recovery, restore the functionality of the upper limb more quickly, and thus enable a faster recovery.

Key words
nerve reconstruction – radial nerve injury – tendon transfer – humeral shaft fracture