Acta Orthopaedica et Traumatologica Turcica, 2017 · DOI: http://dx.doi.org/10.1016/j.aott.2017.06.002 · Published: October 4, 2017
This study explores surgical options for improving hand function in individuals with tetraplegia (paralysis of all four limbs). The primary focus is on tendon transfer procedures and the use of a Universal Cuff as a salvage method. Tendon transfers involve surgically rerouting tendons to restore specific hand functions like key pinch and hook grip. The effectiveness of these transfers was measured in terms of strength and functional outcomes. The Universal Cuff is presented as a helpful tool for patients who experience complications or are not suitable candidates for further surgery, providing a means to perform daily tasks.
Surgery should be considered a viable option for improving hand function in tetraplegic patients when no further spontaneous recovery is expected.
Post-operative rehabilitation is crucial for maximizing the benefits of tendon transfer surgeries and should involve a dedicated team approach.
The Universal Cuff can serve as an effective assistive device for patients who experience surgical complications or decline further surgical interventions.