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Management of the paralyzed elbow in tetraplegia
Harry Hoyen1, Eduardo Gonzalez, Patrick Williams
1Cleveland Combined Hand Fellowship, Metrohealth Medical Center, Department of Orthopaedic Surgery, Case Western Reserve University, Cleveland, OH, USA. hhoyen@metrohealth.org
Hand Clinics
|July 30, 2002
Abstract:
The management of the paralytic conditions in tetraplegia requires understanding neural pathophysiology. A comprehensive rehabilitative and surgical plan requires a multidisciplinary approach. Prior to redistributing the muscle forces across the elbow, a supple osseo-articular platform must be created. The authors recommend PDT and BTT transfers and a FES neuroprosthesis. Future work in this field will advance the application of neuromodulation and its deployment in different neurophysiologic states.