Protection of the deltoid to triceps tendon transfer repair sites

Fridén, Jan; Ejeskär, Arvid; Dahlgren, Annika; Lieber, Richard L.

doi:10.1053/jhsu.2000.jhsu025a0144

Cited by 44 publications

(23 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 Reconstructive arm and hand surgery has the potential to improve both passive and active function in the arm and hand in patients with cervical SCI. 13,14 The basis for treatment is the patient's needs and desires as well as the remaining motor and sensory functions in the upper extremities, with no restrictions related to age or time since injury. 15 Even though hand function is of the utmost importance for independence in ADL, the evaluation of reconstructive hand surgery has hitherto been focused more on assessing function than activity.…”

Section: Introductionmentioning

confidence: 99%

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Dahlgren

Lundgren‐Nilsson

et al. 2006

Spinal Cord

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Dahlgren

Lundgren‐Nilsson

et al. 2006

Spinal Cord

View full text Add to dashboard Cite

“…The testing did not quantify in detail the significant influence of a large number of variables on the deformation properties of the muscle -size, material, number of stitches etc. The observed differences in suture solidity and the extent of its elongation after loading, concerning the type of the technique used, participate in post-operative elongation of the transferred muscle with function loss 12 . Experimental values are altered in clinical application, and by different interpretations of described suture techniques by particular surgeons.…”

Section: Discussionmentioning

confidence: 99%

A Biomechanical Study of a Suture Between the Deltoid Muscle and a Free Tendon Graft for Reconstruction of the Elbow Extension

Čižmář¹,

Florian²,

Návrat³

et al. 2011

BIOMED PAP

View full text Add to dashboard Cite

Aims. It is possible to reconstruct the elbow motion in tetraplegic patients using the posterior portion of the deltoid muscle. In this surgery however, it is a problem to achieve a firm suture between the deltoid muscle and the tendon graft which extends the muscle and is sewn in order to compensate for the plegic musculus triceps brachii function. This study assesses two methods of attachment between muscle and free tendon graft from the biomechanical point of view.Methods. The assessment was made on 7 fresh-frozen cadaveric samples where the rear portion of the deltoid muscle was sewn with the strip of fascia lata (A1-A7) and 7 samples (B1-B7) where the free tendon graft was attached with a strengthened part of deltoid fascia. The character of the attachment defect was evaluated as strength and elongation parameters using the device Zwick Z020-TND.Results. The ANOVA showed a statistically significant greater suture solidity connecting the muscle and tendon for group B (B1-B7) than group A. The deformation of the actual suture location was smaller in group B than the deformation of attachment surroundings.Conclusion. From the biomechanical solidity point of view, it is more efficient to use the strengthened fascia of the deltoid muscle on its inner side for the suture with the tendon graft for reconstruction of the elbow extension in tetraplegic patients.

show abstract

“…4 The placing of the transferred tendon under tension during surgery directly influences the quality of outcome. 2,31 The gradual postsurgery elongation of each tendon varies greatly from one individual to another (23.175.8 mm), 32 which can explain the variability of joint coordination from one upper limb to another of the same tetraplegic.…”

Section: Discussionmentioning

confidence: 99%

Improved kinematics of unrestrained arm raising in C5–C6 tetraplegic subjects after deltoid-to-triceps transfer

Remy-Neris

Milcamps

et al. 2003

Spinal Cord

View full text Add to dashboard Cite

Study design: Prospective comparative study. Objective: To determine whether control of upper limb joint synergy during unrestrained arm raising involving shoulder and elbow flexion is modified by deltoid-to-triceps transfer. Setting: Rehabilitation unit for spinal cord injury patients, France. Methods: Five C6 subjects with C5-C6 tetraplegia sustained posterior deltoid-to-triceps transfer and were compared to a control group of 11 subjects. Kinematics of shoulder and elbow joints before, 6 month and 1 year after surgery, during straight-arm raising (SAR) in the plane of the scapula and hand-to-nape-of-neck movements (HNNMs) were explored. Motion was recorded with a six-camera Vicon motion analysis system and the data used to assess the coupling of elbow and shoulder flexion velocities (EFVs and SFVs) and extension velocities. Results: All subjects were initially assessed at 6.9 months (mean) postsurgery. Three of the upper limbs were assessed a second time (mean 17.9 months). The first assessment showed an increase in shoulder flexion amplitudes in tetraplegic subjects with presurgery shoulder flexion deficits. Peak SFVs and EFVs and extension velocities were slightly modified at the first postsurgery assessment and dramatically improved at the second assessment during both SAR and HNNM. Despite these increased velocities, joint coordination was only partially restored. Conclusion: A restored elbow active extension improves the speed of elbow flexion. The additional improvement of shoulder motion emphasises the relation between joints in the control of arm movement.

show abstract

Protection of the deltoid to triceps tendon transfer repair sites

Cited by 44 publications

References 12 publications

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein–Bell ADL Scale

A Biomechanical Study of a Suture Between the Deltoid Muscle and a Free Tendon Graft for Reconstruction of the Elbow Extension

Improved kinematics of unrestrained arm raising in C5–C6 tetraplegic subjects after deltoid-to-triceps transfer

Contact Info

Product

Resources

About