The Green Transfer-Long-Term Results

Douglas T Hutchinson; Michelle A James; Wendy A Tomhave; Ann Van E Heest

doi:10.1016/j.jhsa.2023.09.003

The Green Transfer-Long-Term Results

J Hand Surg Am. 2023 Nov 30:S0363-5023(23)00494-X. doi: 10.1016/j.jhsa.2023.09.003. Online ahead of print.

Authors

Douglas T Hutchinson¹, Michelle A James², Wendy A Tomhave³, Ann Van E Heest⁴

Affiliations

¹ University of Utah Orthopaedic Center, Salt Lake City, UT. Electronic address: Douglas.hutchinson@hsc.utah.edu.
² Shriners Children's Northern California, Sacramento, CA.
³ Shriners Children's Twin Cities, Woodbury, MN.
⁴ University of Minnesota Department of Orthopedic Surgery, Minneapolis, MN.

PMID: 38043035
DOI: 10.1016/j.jhsa.2023.09.003

Abstract

Purpose: The purpose of this study was to determine the long-term results of the Green transfer (flexor carpi ulnaris to extensor carpi radialis brevis) for patient-reported outcomes, wrist position, and range of motion.

Methods: We re-examined 13 patients from a previous prospective study involving surgery for hemiplegia that included a Green transfer. The average follow-up was 8 years with the range from 5 to 11 years. The wrist range of motion and the postoperative position of the wrists were measured. The surgical outcomes were measured via the Pediatric Orthopedic Data Collection Instrument, the Shriner's Hospital Upper Extremity Evaluation, Pediatric Quality of Life, and visual analog score for appearance from the patient and the parent.

Results: At this follow-up, only 7 of the 13 patients had a wrist position near neutral with the ability to flex and extend the wrist. Wrist range of motion was improved in four, decreased in four, and stayed the same in five patients. In contrast to these positional wrist results, statistically significant improvements were noted in several aspects of the Pediatric Orthopedic Data Collection Instrument, visual analog scores, and Shriner's Hospital Upper Extremity Evaluation scores.

Conclusions: Long-term follow-up of the flexor carpi ulnaris to extensor carpi radialis brevis tendon transfer in hemiplegic patients reveals the results to be variable but favorable from a patient-reported outcome standpoint.

Type of study/level of evidence: Therapeutic IV.

Keywords: FCU to ECRB; Green transfer; Hemiplegia; Wrist flexion contracture.