잠시만 기다려 주세요. 로딩중입니다.

Upper Limb Reconstruction in Tetraplegic Patients: A Primer for Spinal Cord Injury Specialists

Korean Journal of Neurotrauma 2020년 16권 2호 p.126 ~ 137
Liew Siew Khei, 심범진, 공현식,
소속 상세정보
 ( Liew Siew Khei ) - University Putra Malaysia Faculty of Medicine and Health Sciences Department of Orthopedic Surgery
심범진 ( Shim Bum-Jin ) - Seoul National University Bundang Hospital Department of Orthopedic Surgery
공현식 ( Gong Hyun-Sik ) - Seoul National University Bundang Hospital Department of Orthopedic Surgery

Abstract


Cervical spinal cord injury (SCI) often causes debilitating loss of function of the upper limb. Upper extremity reconstruction surgery can restore some of the upper limb function in tetraplegic patients with SCI. The procedures are typically muscle-tendon unit transfer surgeries, which redistribute the remaining functional muscles to restore active elbow extension, key grip, and finger grasping. In addition to the tendon transfer surgeries, nerve transfers have emerged recently and are showing promising results. However, despite more than half of the tetraplegic patients can benefit from upper limb surgery, only a few of them receive the procedures. This missed opportunity may be due to the lack of communication between SCI specialists and hand surgeons, or the lack of awareness of such options among the specialists and patients. In this review, we provide a basic overview of upper limb reconstruction in tetraplegic patients with target audience of SCI specialists for their better understanding of the basic concept of surgery and information for patient consultation before referring to hand surgeons.

키워드

Spinal cord injury; Tetraplegia; Upper extremity; Tendon transfer; Nerve transfer

원문 및 링크아웃 정보

등재저널 정보