The Moberg Deltoid-Triceps Replacement and Key-Pinch Operations in Quadriplegia: Preliminary Experiences

Abstract

The use of the tendons of the lateral four extensors of the toes in order to transfer the pull of the posterior deltoid to extend the elbow is successful in the OCu:2 quadriplegic patient. The Moberg operation for key pinch in its various modifications also improves the function of these patients and is well received by them. The necessity for prolonged protection (three months) and for simplicity in surgical procedures in these patients is illustrated in seven patients.

Get full access to this article

View all access options for this article.

References

BUNNELL, S

(1949). Tendon Transfers in the Hand and Forearm. Instructional Course Lectures, 6, 106-112.

BUNNELL, S

(1956). Surgery of the Hand, Third Edition. Philadelphia, London, Montreal: J. B. Lippincott Company.

FREEHAFER, AA

, and

WA MAST

(1967). Transfer of the Brachioradialis to Improve Wrist Extension in High Spinal-Cord Injury. The Journal of Bone and Joint Surgery, 49A, 648-652.

LAMB, DW

, and

R LANDRY

(1971). The Hand in Quadriplegia. Hand, 3, 31-37.

LAMB, DW

, and

RM LANDRY

(1972). The Hand in Quadriplegia. Paraplegia, 9, 204-212.

LIPSCOMB, PR

EC ELKINS

, and

ED HENDERSON

(1958). Tendon Transfers to Restore Function of Hands in Tetraplegia, Especially After Fracture-Dislocation of the Sixth Cervical Vertebra on the Sevenths. The Journal of Bone and Joint Surgery, 40A, 1071-1080.

MOBERG, E

(1975). Surgical Treatment for Absent Single-Hand Grip and Elbow Extension in Quadriplegia: Principles and Preliminary Experience. The Journal of Bone and Joint Surgery, 57A, 196-206.

MOBERG, E

(1976). Reconstructive Hand Surgery in Tetraplegia, Stroke, and Cerebral Palsy: Some Basic Concepts in Physiology and Neurology. The Journal of Hand Surgery, 1, 29-34.

RIORDAN, DC

(1953). Tendon Transplantations in Median-Nerve and Ulnar-Nerve Paralysis. Journal of Bone and Joint Surgery, 35A, 312-320.

10.

ZANCOLLI, E

(1975). Surgery for the Quadriplegic Hand With Active, Strong Wrist Extension Preserved, A Study of 97 Cases. Clinical Orthopaedics and Related Research, 112, 101-113.