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mplications following elective hand surgery. TYPE OF STUDY/LEVEL OF EVIDENCE Therapeutic IV. PURPOSE With nerve or tendon surgery, the results of thumb reconstruction to treat radial nerve paralysis are suboptimal. The goals of this study were to describe the anatomy of the deep branch of the posterior interosseous nerve (PIN) to the thumb extensor muscles (DBPIN), and to report the clinical results of transferring the distal anterior interosseous nerve (DAIN) to the DBPIN. METHODS The PIN was dissected in 12 fresh upper limbs. Myelinate