Liechti, Rémy; Schibli, Silvia; Koch-Borner, Sabrina; Fridén, Jan (2023). Implications of thumb position and trajectory in tetraplegia grip reconstruction - a cohort study. Spinal cord series and cases, 9(1), p. 26. Springer Nature 10.1038/s41394-023-00581-7
Full text not available from this repository. (Request a copy)STUDY DESIGN
This study represents a retrospective observational cohort study.
OBJECTIVES
The objective of this study was to investigate the impact of thumb position on postoperative patient-rated and functional outcomes in grip reconstruction surgery.
SETTING
All consecutive adult patients with tetraplegia undergoing grip reconstruction surgery at the Swiss Paraplegic Centre between 06/2008 and 11/2020 were assessed for eligibility.
METHODS
Standardized photo or film documentation was used for individually recreating and categorizing thumb position and trajectory during key pinch. Outcome measurements included key pinch strength, Canadian Occupational Performance Measure (COPM) and Grasp Release Test (GRT).
RESULTS
Fifty-six hands of 44 patients (mean age 42.2 years, range 18-70 years) with a mean follow-up of 14.8 months (range 6 months to 12 years) were included. There was a significant postoperative improvement of key pinch strength, COPM score and GRT. COPM improvement was more pronounced for hands with more palmar abducted trajectories of the thumb.
CONCLUSIONS
Regardless of reconstruction type, pinch strength, patient satisfaction and grasp and release abilities improved significantly after surgery. Thumb position and trajectory are strong determining factors for the selected outcome measurements.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery 04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Plastic, Reconstructive and Aesthetic Surgery |
UniBE Contributor: |
Liechti, Rémy |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2058-6124 |
Publisher: |
Springer Nature |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
03 Jul 2023 13:35 |
Last Modified: |
03 Jul 2023 13:42 |
Publisher DOI: |
10.1038/s41394-023-00581-7 |
PubMed ID: |
37393337 |
URI: |
https://boris.unibe.ch/id/eprint/184305 |
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