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Expanding traditional tendon-based techniques with nerve transfers for the restoration of upper limb function in tetraplegia: A prospective case series

The Lancet Jul 11, 2019

van Zyl N, et al. - Among patients with cervical spinal cord injury of motor level C5 and below included in this prospective case series, researchers assessed the results of nerve transfer surgery done for the reanimation of upper limb function in tetraplegia. In this study, 59 nerve transfers were performed on 16 participants (27 limbs) with traumatic spinal cord injury, who were evaluated at 12 months and 24 months after the operation. Nerve transfers were combined with tendon transfer in 10 participants (12 limbs). The action research arm test, grasp release test, and spinal cord independence measure were used as primary outcome measures. Findings revealed the safety as well as the efficacy of early nerve transfer surgery for upper limb reanimation in tetraplegia. Significant functional improvement can be achieved with nerve transfers and these can be successfully combined with tendon transfers to maximize functional benefits.
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