Tetraplegia-Tetraplegia: Function Evaluation of Reconstructive Hand Surgery for Tetraplegia

Tetraplegia: Function Evaluation of Reconstructive Hand Surgery for Tetraplegia

Video Transcription

Video Summary

The video transcript discusses reconstructive surgery for patients with tetraplegia secondary to spinal cord injury. It explains the functional groups of tetraplegia and highlights the muscles and muscle groups that retain function in each group. The video then presents two patients from different functional groups and demonstrates their hand function before and after surgical reconstruction.<br /><br />The first patient is from group 1 and lacks two-point discrimination in her thumb. She undergoes surgery to restore wrist extension and key pinch. The surgical plan involves transferring the brachioradialis muscle to the extensor carpi radialis brevis. The patient shows improved hand function after the surgery.<br /><br />The second patient is from group 6-7 and has limited hand function. Surgery is performed in two stages to reconstruct grasp and pinch. The flexor phase involves transferring muscles to provide finger and thumb flexion. The extensor phase involves tenodesis to provide finger and thumb extension. The patient demonstrates improved grip and pinch strength after the surgery.<br /><br />The video emphasizes that while the reconstructed hands may not have the full functionality of a normal hand, the surgery significantly improves the patients' ability to perform daily activities and enhances their overall quality of life.

Keywords

reconstructive surgery

tetraplegia

spinal cord injury

functional groups

muscles

hand function

surgical reconstruction