Posterior deltoid-to-triceps tendon transfer to restore active elbow extension in patients with tetraplegia.
Tetraplegia, paralysis of all 4 limbs, is usually the result of cervical spinal cord injury. Recovery of independence is the primary goal of people with tetraplegia; this requires reconstruction of upper extremity function. Active elbow extension, necessary for a wide range of activities of daily living, is usually surgically reconstructible. The posterior deltoid-to-triceps tendon transfer was developed to restore active elbow extension; good functional results and high levels of patient satisfaction have been reported for this operation.
Bonds
Cale W
CW
Department of Orthopaedic Surgery, University of California Davis School of Medicine, Shriners Hospital for Children Northern California, Sacramento, CA 95817, USA.
James
Michelle A
MA
D000203:Activities of Daily Living; D000328:Adult; D004551:Elbow Joint / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009119:Muscle Contraction / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000601:surgery*; D011379:Prognosis; D011782:Quadriplegia / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology*; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D013709:Tendon Transfer / Q000379:methods* / Q000534:rehabilitation