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Related Experiment Videos

Upper-limb surgery for tetraplegia.

K D Mohammed1, A G Rothwell, S W Sinclair

  • 1Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand.

The Journal of Bone and Joint Surgery. British Volume
|November 1, 1992
PubMed
Summary
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Surgical reconstructions significantly improved upper limb function in tetraplegic patients, restoring elbow extension, grip, and pinch. Bilateral procedures yielded better outcomes than unilateral ones.

Area of Science:

  • Orthopedics
  • Reconstructive Surgery
  • Neurosurgery

Background:

  • Tetraplegia presents significant upper limb functional deficits.
  • Restoring hand and arm function is crucial for patient independence.

Purpose of the Study:

  • To evaluate the outcomes of upper limb reconstructions in tetraplegic patients.
  • To assess the effectiveness of various surgical techniques for functional restoration.

Main Methods:

  • Review of 97 upper limb reconstructions in 57 tetraplegic patients (1982-1990).
  • Focus on functional reconstructions for elbow extension, hook grip, and key pinch.
  • Surgical procedures included tendon transfers and tenodeses.

Main Results:

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  • Successful elbow extension in 34 limbs, hook grip in 58, and key pinch in 68.
  • 70% good or excellent subjective results at 37-month average follow-up.
  • Bilateral simultaneous surgery generally outperformed unilateral surgery.

    • Conclusions:

    • Upper limb reconstruction is effective in improving function for tetraplegic patients.
    • Specific tendon transfers and tenodeses are reliable for restoring key functions.
    • Bilateral surgery offers superior functional gains compared to unilateral procedures.