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    188宝金博页面版: 14.6 Shortened rehabilitation period after reconstruction of elbow extension in tetraplegia

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    内容提示： attachments sites in conjunction with a more aggressiverehabilitation programme.Patients and methods: Between the years 2003 and 2005,12 tetraplegic patients (15 arms) underwent modif i eddeltoid-to triceps transfer using tibialis anterior tendongraft. The surgery included large overlaps between thetendons attachments and additional securing by anchor-ing the distal stump of the tendon graft to the olecranon.During the f i rst 4 weeks of immobilization, staticcontractions were performed and during the foll...

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    attachments sites in conjunction with a more aggressiverehabilitation programme.Patients and methods: Between the years 2003 and 2005,12 tetraplegic patients (15 arms) underwent modif i eddeltoid-to triceps transfer using tibialis anterior tendongraft. The surgery included large overlaps between thetendons attachments and additional securing by anchor-ing the distal stump of the tendon graft to the olecranon.During the f i rst 4 weeks of immobilization, staticcontractions were performed and during the following4 weeks the elbow f l exion angle was increased by 151 perweek and weights were used to reinforce musclestrengths. The average follow-up time was 14 months.Results: The active range of motion and strength ofelbow extension increased signif i cantly: MRC4þðn ¼ 10Þ; MRC4 ðn ¼ 3Þ; MRC3 ðn ¼ 2Þ.Discussion: The current study demonstrates good func-tional results using a more rigorous suturing techniqueand a more active strength and mobility trainingwithout additional adverse effects.10.1016/j.jhsb.2006.03.018ARTICLE IN PRESSTHE JOURNAL OF HAND SURGERY VOL. 31B No. S1 JUNE 2006 70

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