Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

465
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
465
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

661
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
661
Flail Chest-II01:26

Flail Chest-II

873
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
873
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

381
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
381
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

582
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
582

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Integrated nerve and tendon transfer approach to restore functional balance of the hand in tetraplegia.

The Journal of hand surgery, European volume·2026
Same author

Comment on: Anatomical basis of end-to-side sensory reinnervation after sural nerve grafting.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2025
Same author

Neovascularisation in flexor carpi ulnaris tendinopathy: novel combined sclerosing therapy and eccentric training of the forearms in athletics' wrist pain.

BMJ case reports·2025
Same author

Outcomes of lateral femoral cutaneous nerve decompression surgery in meralgia paraesthetica: assessment of pain, sensory deficits, and quality of life.

International orthopaedics·2025
Same author

[Plastic surgical treatment of neurofibromatosis type 1].

Chirurgie (Heidelberg, Germany)·2025
Same author

Combined nerve and tendon transfer strategy for the restoration of grasp in tetraplegia; a case report.

Spinal cord series and cases·2025
Same journal

The Diagnosis and Management of Clenched Fist Syndrome.

The Journal of hand surgery·2026
Same journal

Ultrasound-Assisted Thin Posteromedial Thigh Free Flap for Coverage of Hand and Upper-Extremity Wounds.

The Journal of hand surgery·2026
Same journal

Comparison of One- and Two-knot Techniques in Eight-Strand Flexor Tendon Repair Using Looped Sutures: A Biomechanical Study in a Porcine Model.

The Journal of hand surgery·2026
Same journal

Biomechanical Comparison of Metal Versus Suture and Screw Tension Band Technique for Olecranon Fractures.

The Journal of hand surgery·2026
Same journal

Incidence, Timing, and Predictors of Staged Contralateral Carpal Tunnel Release at Minimum Ten-Year Follow-Up from Unilateral Surgery.

The Journal of hand surgery·2026
Same journal

Upper Limb Reconstruction in Arthrogryposis Multiplex Congenita: A Systematic Review.

The Journal of hand surgery·2026
See all related articles

Related Experiment Video

Updated: Mar 30, 2026

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

18.4K

Tetraplegia Management Update.

Jan Fridén1, Andreas Gohritz2

  • 1Centre for Advanced Reconstruction of Extremities (C.A.R.E.) and Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, Göteborg, Sweden; Swiss Paraplegic Centre, Nottwil, Switzerland.

The Journal of Hand Surgery
|November 6, 2015
PubMed
Summary
This summary is machine-generated.

Surgical reconstruction can restore arm and hand function in over 70% of tetraplegia patients with cervical spinal cord injury. Advances like nerve transfers and one-stage procedures significantly improve independence and quality of life.

Keywords:
Combined proceduresearly activationnerve transfertendon transfertetraplegia

More Related Videos

Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury
11:57

Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury

Published on: February 23, 2015

9.8K
Development of an Algorithm to Perform a Comprehensive Study of Autonomic Dysreflexia in Animals with High Spinal Cord Injury Using a Telemetry Device
06:51

Development of an Algorithm to Perform a Comprehensive Study of Autonomic Dysreflexia in Animals with High Spinal Cord Injury Using a Telemetry Device

Published on: July 29, 2016

8.3K

Related Experiment Videos

Last Updated: Mar 30, 2026

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
09:24

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury

Published on: January 5, 2015

18.4K
Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury
11:57

Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury

Published on: February 23, 2015

9.8K
Development of an Algorithm to Perform a Comprehensive Study of Autonomic Dysreflexia in Animals with High Spinal Cord Injury Using a Telemetry Device
06:51

Development of an Algorithm to Perform a Comprehensive Study of Autonomic Dysreflexia in Animals with High Spinal Cord Injury Using a Telemetry Device

Published on: July 29, 2016

8.3K

Area of Science:

  • Reconstructive surgery
  • Neuroscience
  • Spinal cord injury management

Background:

  • Tetraplegia, resulting from cervical spinal cord injury, causes paralysis of all four limbs, severely impacting mobility and independence.
  • Restoring arm and hand function is crucial for improving daily living activities, personal care, and overall quality of life for individuals with tetraplegia.

Purpose of the Study:

  • To provide an updated analysis of current management, treatment options, and outcomes for surgical reconstruction of arm and hand function in tetraplegia.
  • To highlight the potential of surgical interventions to enhance autonomy and functional capabilities in tetraplegic individuals.

Main Methods:

  • Review of surgical techniques including tendon and nerve transfers, tenodeses, and joint stabilizations.
  • Analysis of one-stage combined procedures versus traditional multistage approaches.
  • Evaluation of nerve fascicle transfers from unaffected nerve regions above the spinal cord injury.

Main Results:

  • Surgical restoration can improve autonomy, mobility, and critical abilities (e.g., eating, self-care) in at least 70% of tetraplegic patients.
  • Procedures reliably enhance arm and hand usability, reduce spasticity-related issues, and prevent joint contractures.
  • One-stage procedures offer advantages over multistage approaches, including reduced adhesions and enhanced functional recovery.

Conclusions:

  • Surgical reconstruction offers significant potential for functional recovery and improved independence in tetraplegia.
  • Combined, one-stage procedures and innovative nerve transfers are effective in enhancing motor and sensory outcomes.
  • Interdisciplinary communication and patient involvement are key to maximizing the benefits of these surgical advancements for tetraplegic individuals.