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2016, Number 2

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Revista Cubana de Ortopedia y Traumatología 2016; 30 (2)

Transfer of posterior deltoid to the brachial triceps in patients with cervical spinal cord injuries

Bernal GMJ, Cabrera VNJ, Peña ML, Álvarez PL
Full text How to cite this article

Language: Spanish
References: 9
Page: 153-159
PDF size: 209.13 Kb.


Key words:

tetraplegia, brachial triceps paralysis, transference.

ABSTRACT

Introduction: for a long, almost 50 centuries, tetraplegia was thought to be untreated. The highest percentage of cervical spinal cord injury occurs due to traffic accidents in young patients whose loss of active elbow extension limits their ability to perform daily activities as subtle as combing their hair or brushing their teeth, so that they become totally individuals dependent.
Objective: describe the results of transferring the posterior deltoid to the triceps in quadriplegic patients.
Method: a prospective longitudinal study was carried out in nine patients (14 transfers) who were operated on and Castro Sierra technique was applied (transfer of posterior deltoid to the triceps brachii) to restore active elbow extension.
Results: 100 % of the patients underwent active elbow extension. 57 % (8 elbows) with grade III strength and 43 % (6 elbows) with grade IV strength. All the nine patients (100 %) were satisfied with the results of their operation. No complications were reported.
Conclusions: transfer of posterior deltoid to the brachial triceps allows the active extension of the elbow in quadriplegic patients.


REFERENCES

  1. Calandruccio JH, Jobe MT. Mano paralítica. Tetraplejia. Campbell. 11na. ed. Cap. 68. España: Elsevier; p. 4157.

  2. Netscher DT. Surgical technique: Posterior Deltoid to Triceps Transfer in Tetraplegic Patients. J Hand Surg Am. 2011;36(4):711-5.

  3. Hamou C, Shah NR, DiPonio L, Curtin CM. Pinch and Elbow Extension Restoration in People With Tetraplegia: A Systematic Review of the Literature. J Hand Surg Am. 2009 April;34(4):692-9.

  4. Leclercq C, Hentz V. Reconstruction of Elbow Extension. Hand Clinics. 2008; 24(2):185-201.

  5. Green DP. Tetraplejía. Vol. II. Cap 36. p. 1271-96.

  6. Salamanca JE. Mano tetrapléjica. Rev Ortop Traum. 1992;31 B(Supl II):84-8.

  7. Watson J. Fracturas y heridas articulares. 5ta. ed. Tomo II. Cap. 24. La Habana: Ed: Científico-Técnica;1980. p. 790-7.

  8. Fridén J, Reinholdt C, Gohritz A. Simultaneous Powering of Forearm Pronation and Key Pinch in Tetraplegia Using a Single Muscle-Tendon Unit. J Hand Surg Eur. 2012 May;37(4):323-8.

  9. Bryden AM, Allan E. Peljovich, Hoyen HA. Surgical Restoration of Arm and Hand Function in People with Tetraplegia. Top Spinal Cord Inj Rehabil. 2012;18(1):43-9.




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Revista Cubana de Ortopedia y Traumatología. 2016;30