{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:09:11Z","timestamp":1789373351977,"version":"build-2803163510"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Major injuries to the infraclavicular or axillary region requiring axillary artery repair or reconstruction, a replantation carried out at the proximal third of the arm, or an infraclavicular brachial plexus palsy with failed nerve reconstruction pose a challenge to a reconstructive surgeon with only the shoulder remaining functional. We observed that patients with these injuries exhibited a \u2018trick\u2019 movement causing elbow flexion by abducting the shoulder beyond 90 degrees, which led us to use the anterior fibers of the deltoid extended with fascia lata graft as a donor to restore elbow flexion in them. 11 patients, including 9 males and 2 females, underwent the transfer. Patients were followed up at 1, 3, 6 months, and 1 year; functional outcomes were assessed at 1 year. The mean follow-up period was 27 months (4 to 88\u00a0mo). At 3 months of follow-up, all patients demonstrated active elbow flexion by initiating shoulder abduction. Nine of these patients with more than 1 year of follow-up demonstrated MRC grade 3 elbow flexion, with motion up to 120 degrees, independent of shoulder motion. Anterior deltoid transfer is a useful option for restoring elbow flexion when standard options are unavailable in selected cases and deserves a place in the reconstructive surgeon's armamentarium.<\/jats:p>","DOI":"10.1097\/bth.0000000000000569","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:00:10Z","timestamp":1789372810000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Deltoid to Biceps Transfer for Restoration of Elbow Flexion"],"prefix":"10.1097","author":[{"given":"Vigneswaran","family":"Varadharajan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Bhardwaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gugri M.","family":"Sunay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari","family":"Venkatramani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Raja","family":"Sabapathy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"R1-20260914","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1016\/j.injury.2016.08.011","article-title":"Functioning free muscle transfer for the restoration of elbow flexion in brachial plexus injury patients","volume":"47","author":"Estrella","year":"2016","journal-title":"Injury"},{"key":"R2-20260914","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.2106\/00004623-197355060-00014","article-title":"Latissimus dorsi transfer to restore elbow flexion. An appraisal of eight cases","volume":"55","author":"Zancolli","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20260914","doi-asserted-by":"crossref","first-page":"e330","DOI":"10.1016\/j.jse.2018.06.027","article-title":"Bipolar transfer of the pectoralis major muscle for restoration of elbow flexion in 29 cases","volume":"27","author":"Cambon-Binder","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"R4-20260914","doi-asserted-by":"crossref","first-page":"775","DOI":"10.2106\/00004623-195436040-00009","article-title":"Experiences with the Steindler flexorplasty at the elbow","volume":"36-A","author":"Mayer","year":"1954","journal-title":"J Bone Joint Surg Am"},{"key":"R5-20260914","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1080\/028443100750059147","article-title":"Triceps to biceps transfer to restore elbow flexion in three patients with brachial plexus palsy","volume":"34","author":"R\u00fchmann","year":"2000","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"R6-20260914","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/BTH.0b013e318196c92d","article-title":"Posterior deltoid-to-triceps tendon transfer to restore active elbow extension in patients with tetraplegia","volume":"13","author":"Bonds","year":"2009","journal-title":"Tech Hand Up Extrem Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/BTH.0000000000000569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:00:12Z","timestamp":1789372812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/BTH.0000000000000569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":6,"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000569","relation":{},"ISSN":["1531-6572","1089-3393"],"issn-type":[{"value":"1531-6572","type":"electronic"},{"value":"1089-3393","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"assertion":[{"value":"2026-01-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}