TECHNIQUEBiceps-to-Triceps Transfer for Restoration of Elbow Extension in TetraplegiaKozin, Scott H. MDAuthor Information Department of Orthopaedic Surgery Temple University Attending Hand Surgeon Shriners Hospital for Children Philadelphia, Pennsylvania Address correspondence and reprint requests to Scott H. Kozin, MD, Shriners Hospital for Children, 3551 North Broad Street, Philadelphia, PA 19140; e-mail: [email protected] Techniques in Hand and Upper Extremity Surgery: June 2003 - Volume 7 - Issue 2 - p 43-51 Buy Abstract Biceps-to-triceps transfer can restore active elbow extension in persons with tetraplegia. Restoration of elbow extension is often combined with tendon transfers for lateral pinch and grasp. This surgical approach restores functions to the paralyzed limb and enhances independence. This article details the classification of upper limb tetraplegia, discusses patient selection criteria, and describes the surgical technique of biceps-to-triceps transfer. In addition, the rehabilitation protocol and expected outcome are reviewed. © 2003 Lippincott Williams & Wilkins, Inc.