Introducing the Principles of Tendon Transfer for Surgical Trainees to Improve Anatomical Knowledge

Abstract

Introduction: Surgeons require procedural experience and a clear understanding of the anatomy and biomechanics of the muscles to successfully examine patients and accurately execute tendon transfer operations. Aims: The purpose of the study was to identify the principles of tendon transfer surgeries, develop a training package that focused on anatomical knowledge gaps and evaluate its effectiveness. Methods: A systematic literature review was performed to identify the principles of tendon transfers and areas of insufficient knowledge in these surgeries. 128 eligible studies were extracted through an online database search. Clinical case examples from these papers were used to develop a training package to educate trainees. The effectiveness of the training package was evaluated by a questionnaire which captured the familiarity of the trainees with the material taught. Results: The systematic review highlighted 8 main principles of successful tendon transfer procedures. The questionnaire outcome revealed 66% of attendees at the annual surgeons in training workshop recognised the need to have a firm understanding of anatomy. 70% of attendees reported a significant enhancement in their basic scientific understanding and an overwhelming 90% observed an improvement in their anatomical knowledge. 90% expressed confidence in the training provided and its prospects of improving their chances of success in their surgical examination and would therefore recommend the training to others. Conclusion: Case discussions are pivotal in improving trainee anatomical knowledge and surgical understanding. Therefore, directly refining patient assessment and achieving precise diagnosis. This coupled with applying the 8 principles will ultimately achieve more successful surgical outcomes in tendon transfer surgeries.