KaydedilenlerDerginizi ekleyin

Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2017 / Cilt: 51 - Sayı: 5

The scope of upper limb surgery for tetraplegics: Role of tendon transfers and Universal Cuff

Mukul MOHİNDRA
Paritosh GOGNA
Sukhbir Singh SANGWAN
Sahil GABA
Zile Singh KUNDU
Sayfa
367–371
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Universal Cuff is a good salvage method for patients who refuse re-surgery.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: The aim of this study was to evaluate the role of tendon transfers and universal cuff in restoring hand function in tetraplegic patients.
📊
Temel Bulgular & Veri:Methods: Twenty-one upper limbs on 12 tetraplegic patients (9 males and 3 females); mean age: 42.2 years (range 22e58 years) with a spinal cord injury at or distal to C6, were included in this study.
💡
Sonuç & Katkı:Universal Cuff is a good salvage method for patients who refuse re-surgery.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aim of this study was to evaluate the role of tendon transfers and universal cuff in restoring hand function in tetraplegic patients. Methods: Twenty-one upper limbs on 12 tetraplegic patients (9 males and 3 females); mean age: 42.2 years (range 22e58 years) with a spinal cord injury at or distal to C6, were included in this study. Key pinch was restored using Brachioradialis to Flexor Pollicis Longus transfer and hook using Pronator Teres to Flexor Digitorum Profundus transfer. The gains achieved were measured objectively at six months and at final follow up, the average follow up being 26 months. The functional outcome was assessed using the Modified Lamb and Chan score. Results: Average value was 1.67 kg for key pinch and 2.58 kg for hook grip at final follow up. The Modified Lamb and Chan score revealed good to fair outcome in 75% of patients. Complications resulted from stretching of transfer and mal-tensioning and were salvaged by the use of a ‘Universal Cuff’. Conclusion: Surgery should be routinely offered to tetraplegic patients with deficient hand function in whom no recovery is expected after six months following spinal cord injury. Universal Cuff is a good salvage method for patients who refuse re-surgery.

🔖

Bu Makaleye Atıf Yap

MOHİNDRA, M., GOGNA, P., SANGWAN, S. S., GABA, S., KUNDU, Z. S. (2017). The scope of upper limb surgery for tetraplegics: Role of tendon transfers and Universal Cuff. Acta Orthopaedica et Traumatologica Turcica, Cilt: 51 - Sayı: 5, 367–371. https://ajindex.com/articles/192644

Kaynakça (15)

  1. James MA. Reconstruction of the upper extremity in tetraplegia. In: Chapman MJ, Szabo RM, Marder R, Vince Kelly G, Mann RA, Lane JM, et al., eds. Chapman's Orthopaedic Surgery. 3rd ed. Lippincott Williams & Wilkins; 2001: 1855e1870
  2. Lamb DW, Chan KM. Surgical reconstruction of the upper limb in traumatic tetraplegia. J Bone Jt Surg. 1983;65(3):291e297
  3. Calandruccio JH, Jobe MT. Paralytic hand. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Mosby Elsevier; 2008:4125e4172
  4. Mohammed KD, Rothwell AG, Sinclair SW, Willem SM, Bean AR. Upper limb surgery for tetraplegia. J Bone Jt Surg Br. 1992;74(6):873e879
  5. Wagner JP, Curtin CM, Gater DR, Chung KC. Perceptions of people with tetraplegia regarding surgery to improve upper-extremity function. J Hand Surg Am. 2007;32(4):483e490
  6. Curtin CM, Hayward RA, Kim HM, Gater DR, Chung KC. Physicians perceptions of upper extremity reconstruction for the person with tetraplegia. J Hand Surg Am. 2005;30(1):87e93
  7. Forner-Cordero I, Mudarra-Garcia J, Fornder-Valero JV, Vilar-De-La-Pena R. The role of upper limb surgery in tetraplegia. Spinal Cord. 2003;41(2):90e96
  8. Hamou C, Shah NR, DiPonio L, Curtin CM. Pinch and elbow extension restoration in people with tetraplegia: a systematic review of the literature. J Hand Surg Am. 2009;34(4):692e699
  9. Lo IKY, Turner R, Connolly S, Delaney G, Roth JH. The outcome of tendon transfers for C6-spared quadriplegics. J Hand Surg Br Eur. 1998;23(2):156e161
  10. Vastamaki M. Short-term versus long-term comparative results after reconstructive upper-limb surgery in tetraplegic patients. J Hand Surg Am. 2006;31(9):1490e1494
  11. Kelly CM, Freehafer AA, Peckham PH, Stroh K. Postoperative results of opponensplast and flexor tendon transfer in patients with spinal cord injuries. J Hand Surg Am. 1985;10(6 Pt 1):890e894
  12. Rothwell AG, Anne Sinnott KA, Mohammed KA, Dunn JA, Sinclair SW. Upper limb surgery for tetraplegia: a 10-Year re-review of hand function. J Hand Surg Am. 2003;28(3):489e497
  13. Snoek GJ, Ijzerman MJ, Hermens HJ, Maxwell D, Biering-Sorensen F. Survey of the needs of patient with spinal cord injury:impact and priority for improvement in hand function in tetraplegics. Spinal Cord. 2004;42(9):526e532
  14. Gansel J, Waters R, Geliman H. Transfer of the pronator teres tendon to the tendons of the flexor digitorum profundus in tetraplegia. J Bone Jt Surg Am. 1990;72(3):427e432
  15. Moberg E. Surgical treatment for absent single-handed