Use of peripheral nerve transfers in tetraplegia: evaluation of feasibility and morbidity

Hand : Official Journal of the American Association for Hand Surgery
Ida K FoxSusan E Mackinnon

Abstract

Peripheral nerve transfers are being used to improve upper extremity function in cervical spinal cord injury (SCI) patients. The purpose of this study was to evaluate feasibility and perioperative complications following these procedures. Eligible SCI patients with upper extremity dysfunction were assessed and followed for a minimum of 3 months after surgery. Data regarding demographics, medical history, physical examination, electrodiagnostic testing, intraoperative nerve stimulation, recipient nerve histomorphometry, surgical procedure, and complications were collected. Seven patients had surgery on eight limbs, mean age of 28 ± 9.9 years and mean time from SCI injury of 5.1 ± 5.2 years. All patients had volitional elbow flexion and no volitional hand function. The nerve to the brachialis muscle was used as the expendable donor, and the recipients included the anterior interosseous nerve (AIN) (for volitional prehension), nerve branches to the flexor carpi radialis, and flexor digitorum superficialis. Two patients underwent additional nerve transfers: (1) supinator to extensor carpi ulnaris or (2) deltoid to triceps. No patients had any loss of baseline upper extremity function, seven of eight AIN nerve specimens had preserve...Continue Reading

References

Jul 1, 1979·The Journal of Hand Surgery·C L McDowellA G Smith
Jun 18, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M RevolJ M Servant
Dec 12, 2002·Hand Clinics·Antonio LandiN Della Rosa
Dec 12, 2002·Hand Clinics·Bertrand CouletMichel Chammas
Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·Frédéric TeboulChristophe Oberlin
Jan 28, 2005·Journal of Neurotrauma·Alun AckeryAndrei Krassioukov
Jan 28, 2005·Journal of Neurotrauma·Kim D Anderson
Feb 1, 2005·The Journal of Hand Surgery·Catherine M CurtinKevin C Chung
Feb 1, 2005·The Journal of Hand Surgery·Catherine M CurtinKevin C Chung
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Scott H Kozin
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·Christophe OberlinChristian Vacher
Apr 3, 2007·The Journal of Hand Surgery·Jared P WagnerKevin C Chung
Aug 7, 2007·Journal of Neuroscience Methods·Daniel A HunterSusan E Mackinnon
May 7, 2009·Neurosurgical Focus·Justin M BrownSusan E Mackinnon
Feb 10, 2010·The Journal of Hand Surgery·Thomas H Tung, Susan E Mackinnon
Jun 2, 2010·The Journal of Hand Surgery·Scott H KozinM J Mulcahey
Sep 28, 2010·Plastic and Reconstructive Surgery·Brian T CarlsenAlexander Y Shin
Jan 22, 2011·Journal of Neurosurgery·Jayme Augusto BertelliCristiano Paulo Tacca
Apr 30, 2011·The Journal of Hand Surgery·Dan A Zlotolow
May 3, 2011·Plastic and Reconstructive Surgery·Ida K Fox, Susan E Mackinnon
Oct 29, 2011·Clinics in Plastic Surgery·Kirsty U BoydSusan E Mackinnon
May 17, 2012·Journal of Neurosurgery·Susan E MackinnonWilson Z Ray
Jul 24, 2012·Journal of Neurosurgery·Wilson Z RaySusan E Mackinnon

❮ Previous
Next ❯

Citations

Dec 18, 2015·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Edmund R Hollis
Apr 21, 2016·Hand Clinics·Ida K Fox
Sep 7, 2016·The Journal of Hand Surgery·Jayme Augusto Bertelli, Marcos Flávio Ghizoni
Dec 28, 2018·Plastic and Reconstructive Surgery·Elspeth J R Hill, Ida K Fox
Mar 20, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Ida K FoxSusan E Mackinnon
Jan 7, 2017·European Surgery : ACA : Acta Chirurgica Austriaca·K D BergmeisterO C Aszmann
Dec 14, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Paolo TitoloBruno Battiston
Jul 13, 2018·Topics in Spinal Cord Injury Rehabilitation·Ida K FoxCatherine M Curtin
Nov 10, 2020·Korean Journal of Neurotrauma·Siew Khei LiewHyun Sik Gong
Feb 19, 2021·Clinical Case Reports·David P FoleyBrendan J MacKay
Apr 20, 2021·Journal of Neurosurgical Sciences·Mohammadreza EmamhadiAndreas Gohritz

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Related Papers

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
Mary Jane MulcaheyA A Weiss
The Journal of Hand Surgery
Wilson Z Ray, Susan E Mackinnon
Hand : Official Journal of the American Association for Hand Surgery
Eugene C HsiaoSusan E Mackinnon
© 2021 Meta ULC. All rights reserved