Immediate Tendon Transfer for Functional Reconstruction in Upper Limb Sarcoma Surgery: An Observational Study.

ObservationalJNMA; journal of the Nepal Medical Association· Jul 2025

Immediate Tendon Transfer for Functional Reconstruction in Upper Limb Sarcoma Surgery: An Observational Study.

Basanta Maharjan, Janith Singh, Dipendra Maharjan … Prashanna Dip Karki

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Orthopedic OncologyObservationalTreatmentQ3IF 0.6

Arm disability score fell to near-normal levels by 12 months after tendon transfer

Immediate Tendon Transfer for Functional Reconstruction in Upper Limb Sarcoma Surgery: An Observational Study.

Basanta Maharjan … Prashanna Dip Karki

JNMA; journal of the Nepal Medical Association · Jul 2025 · Q3 in General Medicine

Background

Upper limb sarcoma surgeries often require sacrificing major nerves to achieve oncologic control, leading to significant functional loss.

Purpose

This study evaluates functional outcomes following immediate tendon transfer in patients undergoing nerve-sacrificing sarcoma excision.

Methods

This multicentric observational study was conducted at four tertiary centers in Nepal: KIST Medical College and Teaching Hospital, National Trauma Centre, Bhaktapur Cancer Hospital and Nepal Cancer Hospital and Research Centre.

n = 14 patients

Results

arm disability had returned to near normal by one year

More results

This study included 14 patients, with a mean age of 34.07±17.05 years.

Bone sarcomas were present in 3 (21.42%) patients and soft tissue sarcomas in 11 (78.57%) patients.

The radial nerve was sacrificed in 8 (57.14%) patients.

More results

The Musculoskeletal Tumor Society score increased from 8.57 to 25.71, and Medical Research Council grading was >4 in all patients at 12 months.

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Conclusion

Immediate tendon transfer is an effective reconstructive strategy to restore function after nerve-sacrificing upper limb sarcoma surgery.

Immediate Tendon Transfer for Functional Reconstruction in Upper Limb Sarcoma Surgery: An Observational Study.

Immediate Tendon Transfer for Functional Reconstruction in Upper Limb Sarcoma Surgery: An Observational Study.

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