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PRS Global Open • 2022 system to compare outcomes between techniques. Pooled Chi-squared analyses were performed with a p-value < 0.05. RESULTS:Three hundred seventy patients were analyzed. Tendon transfers resulted in the greatest percentage of good outcomes (82%) and the lowest percentage of poor outcomes (9%). Outcomes in nerve transfer were superior in proximal joints. Rates of good and poor outcomes were equivalent at all joint levels for tendon transfers and nerve grafts. At the wrist, tendon transfers were superior to nerve grafts and nerve transfers. Nerve grafts and nerve transfers provided equivalent outcomes at all three levels. CONCLUSION:Our study analyzed reported outcomes of tendon transfers, nerve grafts, and nerve transfers for reconstruction of isolated radial nerve palsy. Pooled analysis demonstrated that tendon transfers had higher rates of superior outcomes with similar rates of inferior outcomes as compared to nerve transfers and nerve grafts. Our findings suggest that tendon transfers should always be considered for reconstruction of patients with isolated radial nerve palsy because nerve-based reconstruction is less reproducible.