The outcome of tendon transfers for C6-spared quadriplegics.
The purpose of this study was to review retrospectively and evaluate a uniform group of C6-spared quadriplegics who had similar surgical procedures. Eight patients undergoing 12 procedures were reviewed at an average of 3.8 years follow-up. There were three bilateral procedures. All patients had extensor carpi radialis longus to flexor digitorum profundus and brachioradialis to flexor pollicis longus transfers to improve grip strength and key pinch. All patients reported subjective improvements in quality of life, activities of daily living and patient-centred goals. There were six excellent and two good results. Objective improvements included mild improvements in key pinch and grip strength.
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St Joseph's Health Center and Parkwood, London, Ontario, Canada.
Turner
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Connolly
S
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Delaney
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Roth
J H
JH
D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology; D010348:Patient Care Team; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D011597:Psychomotor Performance / Q000502:physiology; D011782:Quadriplegia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011788:Quality of Life; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013709:Tendon Transfer; D016896:Treatment Outcome