Hand function reconstruction by tendon transfers in patients with cervical spinal cord injury

Chinese Journal of Reparative and Reconstructive Surgery, 2018 · DOI: 10.7507/1002-1892.201711078 · Published: May 1, 2018

Spinal Cord Injury Surgery Orthopedics

Simple Explanation

This study explores the effectiveness of tendon transfer surgery in restoring hand function in patients with cervical spinal cord injuries. The surgery aims to improve grasping and pinching abilities, which are crucial for daily activities. The procedure involves transferring tendons from one area to another to restore specific hand movements. The study followed patients who underwent this surgery and measured their hand strength and dexterity over time. The results showed significant improvements in hand function, suggesting that tendon transfer surgery can be a valuable option for improving the quality of life for individuals with cervical spinal cord injuries.

Study Duration

2013-07-01 to 2016-01-01

Participants

21 patients (41 hands) with cervical spinal cord injury

Evidence Level

Not specified

Key Findings

1
Grasp force significantly improved at 4 weeks, 3 months, 6 months, and 1 year after the first stage surgery compared to preoperative values.
2
Thumb and index finger lateral pinch force and maximum fingertips distance significantly improved after the second stage surgery.
3
Functional outcome was good in 19 cases, fair in 1 case, and poor in 1 case based on the modified Lamb and Chan questionnaire at 6 months after the second stage surgery.

Research Summary

This study investigated the use of tendon transfer surgery to reconstruct hand function in patients with cervical spinal cord injuries, focusing on grasp and pinch abilities. The results showed that tendon transfer significantly improved hand strength, pinch force, and overall hand function, as measured by various tests and questionnaires. The study concludes that tendon transfer is an effective method for improving hand function and quality of life in patients with cervical spinal cord injuries, but emphasizes the importance of patient selection, surgical technique, and postoperative rehabilitation.

Practical Implications

Improved Hand Function

Tendon transfer surgery can significantly improve hand function, including grasp and pinch strength, in patients with cervical spinal cord injuries.

Enhanced Quality of Life

By restoring hand function, this surgery can improve the quality of life for individuals with tetraplegia, enabling them to perform daily tasks more independently.

Surgical Considerations

Careful patient selection, appropriate surgical techniques, and comprehensive postoperative rehabilitation are essential for successful outcomes.

Study Limitations

1
Small sample size
2
Short observation period
3
Lack of analysis of other factors influencing surgery, such as gender and specific rehabilitation measures

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