Zancolli Lasso Technique versus Brand Technique in Hand Clawing: A Comparative Study of Functional Outcomes | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 13 June 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.213730.1279 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Abdelkhalek Mohamed Sallam  1; Hashem Ayad2; Hamdy Sedky Abdullah3; samir Mohamed Ghoraba4
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| 1Plastic and reconstructive surgery department, faculty of medicine,tanta university, tanta,Egypt | ||||
| 2Faculty of Medicine, Tanta University | ||||
| 3General surgery, faculty of medicine, tanta university , Egypt | ||||
| 4Tanta University ; Plastic and reconstructive surgery | ||||
| Abstract | ||||
| Background: Ulnar nerve palsy has a negative impact on basic daily activities. The ulnar nerve seems to fare worse than the median and radial nerves. Tendon transfer offers the sole solution in neglected cases of ulnar nerve injuries by providing active-controlled motion. Tendon transfers are performed to eradicate claw deformity and restore hand grip. Purpose: To evaluate the effectiveness of the Zancolli Lasso procedure (ZLP) vs. Brand technique "Extensor Carpi Radialis Longus Transfer" in treating hand clawing. Patients & Methods: Twenty patients who suffered from isolated ulnar nerve palsy, regardless the level of injury, with hand clawing after one year or more from the initial injury time with no clinical signs of nerve recovery participated in this prospective study. Ten patients were operated on using the Zancolli Lasso procedure (group A), and ten patients used Extensor Carpi Radialis longus tendon transfer (group B). Prior to and following surgery, patients underwent both subjective and objective evaluations. Results: group A showed significantly shorter operative time, while Group B showed better Hand Assessment Tool (HAT) score and hand grip measurements. Both groups showed significant differences in the variable PIP and DIP joint range of motion. Conclusion: ZLP is an easier surgical choice for claw deformity correction with shorter operative time, while ECRL bestows better handgrip improvement and patient-reported outcomes. Thus, ECRL is favored in manual workers, whereas ZLP is favored in patients with medical comorbidities whenever a shorter operative time is recommended. Keywords: Claw hand, ulnar, Zancolli, Brand, tendon transfer. Level of evidence: Level IV, therapeutic study. | ||||
| Keywords | ||||
| Claw hand; ulnar; Zancolli; Brand; tendon transfer | ||||
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