Reconstruction of Elbow Extension

Leclercq, Caroline; Hentz, Vincent R.; Kozin, Scott H.; Mulcahey, M. J.

doi:10.1016/j.hcl.2008.02.003

Cited by 40 publications

(18 citation statements)

References 31 publications

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“…Although these surgeries can include tendon and muscle lengthenings and releases and de-rotational osteotomies, the primary surgical procedure to restore upper extremity function after SCI involves tendon transfers. 23,[32][33][34][35][36][37] In cases of SCI, tendon transfers are performed when two or more muscles that provide the same function have been preserved; one of the tendons can be transferred to restore distal function without compromise to the original function. As an example, in an individual with a motor level of C5 with preserved function of the brachialis, biceps and brachioradialis muscles.…”

Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

“…The most common procedures to restore elbow extension in people with SCI are the deltoid-to-triceps transfer and biceps-to-triceps transfer. [34][35][36] Tendon transfer for wrist extension restores or augments active wrist extension. This is commonly achieved through a transfer of the brachioradialis to radial wrist extensors.…”

Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

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International Spinal Cord Injury Upper Extremity Basic Data Set

et al. 2014

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Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

International Spinal Cord Injury Upper Extremity Basic Data Set

et al. 2014

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“…For full description of available procedures, we refer to the literature. 7,8 However, in practice, use of reconstructive upper extremity surgery is limited and until now it is not considered as a standard procedure. Anderson et al 6 tried to find an answer to the question why persons with tetraplegia did not undergo reconstructive surgery more often.…”

Section: Introductionmentioning

confidence: 99%

Long-term patient satisfaction after reconstructive upper extremity surgery to improve arm–hand function in tetraplegia

et al. 2011

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Study design: There is a paucity of literature about satisfaction after reconstructive surgery to improve upper limb function in persons with tetraplegia. The present literature describes mainly functional outcomes. Objectives: To evaluate long-term satisfaction after reconstructive upper extremity surgery in persons with tetraplegia. Setting: Two rehabilitation centers in the Netherlands. Method: A three-part questionnaire consisting questions regarding satisfaction, activities, occupation, changes in functional ability and willingness to undergo the surgeries again was used. Internal reliability of the questionnaire was verified by factor analysis and calculation of Cronbach's alpha. Results: In total, 39 out of 55 persons (70.9%) participated in the study. The participants' responses to questions about satisfaction, activities and occupation were positive in 73.5, 67.6 and 35.0%, respectively. Nearly 81% improved their functional ability. Approximately 65% of the participants were willing to undergo elbow extension surgery again and 77.1% expressed their willingness to undergo hand/wrist surgery again. Significant positive correlation was found between willingness to have surgery again and improvement in activities and occupation: Spearman's correlation coefficients: activities-elbow extension 0.63 (P ¼ 0.003), activities-hand/wrist 0.57 (Po0.001), occupation-elbow extension 0.53 (P ¼ 0.025), occupation-hand/wrist 0.57 (P ¼ 0.001). Differences between the subgroups who would have surgery again and those who would refrain were also significant; one-way analysis of variance for activities (F ¼ 9.54, Po0.01) and for occupation (F ¼ 6.60, Po0.02). Conclusion: In the Netherlands, the majority of persons with tetraplegia who underwent reconstructive upper extremity surgery were satisfied with the results. This was related to improvement in activities and occupation.

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“…5 As a result, the patient cannot actively extend the elbow and thus experiences unopposed flexion. 5 Surgical treatment should be delayed until the spinal cord lesion stabilizes. 3…”

Section: Indicationsmentioning

confidence: 99%

“…T HERE ARE SEVERAL surgical techniques for restoring triceps function in tetraplegic patients. [1][2][3][4][5] The goal is to establish a more synchronized, better-controlled arm that allows increased self-sufficiency and further reconstructive surgery on the hand. 6 Improving elbow extension torque has been shown to improve the whole kinematics of the upper limb.…”

mentioning

confidence: 99%