Abstract
Tendon transfers are used to restore important motor functions that are lost and do not recover after nerve injury. They cannot be expected to restore normal motor function, and their benefit may be reduced by loss of sensation, particularly after median nerve injury. They work best in motivated patients who are fully involved in discussions regarding their treatment and are fully aware of the goals and likely outcomes of the proposed transfers. There are a group of standard transfers commonly used for isolated median, ulnar, and radial nerve palsies. There are also numerous additional transfers for use in special situations, such as combined nerve palsies and when the motors for the standard transfers are not available or their use is contraindicated. It is vital that the surgeon is fully aware of the principles of tendon transfers and carefully follows them.
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