TENDON TRANSFERS IN PATIENTS WITH CERVICAL SPINAL-CORD INJURY

被引:33
作者
FREEHAFER, AA [1 ]
机构
[1] CASE WESTERN RESERVE UNIV,SCH MED,DEPT ORTHOPAED,CLEVELAND,OH 44106
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 05期
关键词
D O I
10.1016/S0363-5023(10)80139-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Between 1983 and 1988, 32 patients with cervical spinal cord injuries underwent 124 upper limb tendon transfers during 85 procedures. Of the numerous surgical procedures that have been recommended for treatment of this condition, my experience indicates that the most successful are posterior deltoid-to-triceps transfer, restoration of finger flexion, and restoration of thumb opposition. Longitudinal incisions prove to be quite cosmetic.
引用
收藏
页码:804 / 809
页数:6
相关论文
共 30 条
[1]  
Freehafer AA, Von Haam E, Allen V, Tendon transfers to improve grasp after injuries of the cervical spinal cord, J Bone Joint Surg, 56 A, pp. 951-959, (1974)
[2]  
Kelly CM, Freehafer AA, Peckham PH, Postoperative results of opponensplasty and flexor tendon transfer in patients with spinal cord injuries, J Hand Surg, 10 A, pp. 890-894, (1985)
[3]  
Bryan RS, The Moberg deltoid-triceps replacement and key-pinch operations in quadriplegia: preliminary experiences, Hand, 9, pp. 207-214, (1977)
[4]  
Hentz VR, Brown M, Keoshian LA, Upper limb reconstruction in quadriplegia: functional assessment and proposed treatment modifications, J Hand Surg, 8, pp. 119-131, (1983)
[5]  
Lacey SH, Wilber RG, Peckham PH, Freehafer AA, The posterior deltoid to triceps transfer: a clinical and biomedical assessment, J Hand Surg, 11 A, pp. 542-547, (1986)
[6]  
Moberg EA, Surgical treatment for absent single-hand grip and elbow extension in quadriplegia, J Bone Joint Surg, 57 A, pp. 196-206, (1975)
[7]  
Moberg EA, The upper limb in tetraplegia: a new approach to surgical rehabilitation, (1978)
[8]  
Raczka R, Braun R, Waters RL, Posterior deltoid to triceps transfer in quadriplegia, Clin Orthop, 187, pp. 163-167, (1984)
[9]  
Freehafer AA, Mast WA, Transfer of the brachioradialis to improve wrist extension in spinal cord injury, J Bone Joint Surg, 49 A, pp. 648-652, (1967)
[10]  
Ejeskar A, Upper limb surgical rehabilitation in high-level tetraplegia, Hand Clin, 4, pp. 585-599, (1988)