Functional Surgery of the Upper Limb in High-level Tetraplegia

Upper limb surgery for tetraplegia: Assessment of a 10-point strategy

“…in patients with Group 1 and 2 hands, 36 hands were operated on, with 33 EDC and/or EPL and/or EPB and/or APL tenodesis, including six tenodeses to the radius, 22 tenodeses to the extensor retinaculum [2,8], and five EPL-FPL tenodeses to the radius according to Allieu et al [9]. In four cases, spontaneous tenodesis effects were sufficient enough to avoid a surgical EDC and EPL tenodesis.…”

Résultats à moyen terme du traitement de la dyssynergie vésicosphinctérienne par sphinctérotomie prothétique permanente

“…Certains patients tétraplégiques sélectionnés peuvent retrouver l'accès à l'autosondage via une cystostomie cutanée avec agrandissement vésical, parfois au prix d'un programme de réhabilitation chirurgicale du membre supé-rieur [9,10].…”

Functional electrical stimulation reinforced tenodesis effect controlled by myoelectric activity from wrist extensors

“…These three basic grasps were chosen even though the stimulation did not create different grasping patterns, because they are often in the objectives of restoring grasp function [2][3][4][5][7][8][9][10][11][13][14][18][19][20][21]. The subjects sat upright in their wheelchairs in front of a normal table and were asked to use only the tested hands.…”

“…If inadequate passive finger flexor action exists for grasping, one can use orthotic splinting or prehensile tools to help patients perform ADLs such as eating, drinking, writing, and manipulating objects. In addition, surgical procedures can be used to transfer active muscles or shorten tendons to improve grasp force [2][3][4][5]. However, some patients prefer noninvasive methods to improve hand function.…”