TENDON TRANSFERS FOR FUNCTION C6-8
02/15/2026
Tendon transfers move the tendon of a functioning muscle and surgically place it in a position that allows it to move the hand or arm. This surgery can significantly improve hand and elbow function. C5-8 quads stand to benefit most from tendon transfers.
Options to improve function include surgery to restore elbow extension, wrist extension, and hand opening and closing function. The posterior deltoid muscle can be transferred for use as a tricep. This enables the raising of the arm above the head and extending the arm. The brachioradialis muscle can be transferred to give the ability to grip things.
Tendon transfers typically involve two surgeries on each arm, performed three months apart. Arms are done one at a time. While pinch strength and grasp strength after rehabilitation are not as high as in a normal hand, they are high enough to perform most activities of daily living.
This procedure is not used as much as it could be, though it’s usually successful. This procedure should be covered by insurance and should be part of your rehabilitation discussion.
An alternative to tendon transfer may be available soon. Nerve transfers allow direct reanimation of a paralyzed muscle, preserving its functional advantage.
“I had tendon transfer surgery done for my left hand 24 years ago. Never regretted it for a moment!!! I have been so much more independent and more opportunities have become available because of the improved hand mobility. Having a hard grasp without using a splint to hold something has made life so much easier and quicker. I work full time and can hand paperwork to coworkers with ease and do my tasks so much faster. I’ve had two children and was able to prepare and hold their bottles and change diapers, clothes and play with them better by being able to pick up objects.” Mary Ann, C7