SynthesisThe Journal of hand surgery2009
Pinch and elbow extension restoration in people with tetraplegia: a systematic review of the literature.
Synthesis in The Journal of hand surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 84 citations in OpenAlex.
- Nerve and Tendon Transfers After Cervical Spinal Cord Injury: A Systematic Review of Strength Outcomes in 959 Patients.Journal of hand surgery global online · 2027Article
- Restoring hand grasping for patients with a complete tetraplegia with selective epineural stimulation: a parsimonious thus relevant clinical approach.Journal of neuroengineering and rehabilitation · 2026Article
- Comparing surgeries to restore upper extremity function in tetraplegia: Impact on function during the perioperative period.The journal of spinal cord medicine · 2025Article
- Surgical Reconstruction of Elbow Extension in Spinal Cord Injury and Tetraplegia: A Systematic Review.Journal of hand surgery global online · 2024Article
- Caregiving for People With Spinal Cord Injury Undergoing Upper Extremity Reconstructive Surgery: A Prospective Exploration of Lived Experiences, Perioperative Care, and Change Across Time.Topics in spinal cord injury rehabilitation · 2023Article
- Upper Limb Reconstruction in Tetraplegic Patients: A Primer for Spinal Cord Injury Specialists.Korean journal of neurotrauma · 2020Review
- The natural course of passive tenodesis grip in individuals with spinal cord injury with preserved wrist extension power but paralyzed fingers and thumbs.Spinal cord · 2018Article
- [Hand function reconstruction by tendon transfers in patients with cervical spinal cord injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Nerve and Tendon Transfer Surgery in Cervical Spinal Cord Injury: Individualized Choices to Optimize Function.Topics in spinal cord injury rehabilitation · 2018Review
- The scope of upper limb surgery for tetraplegics: Role of tendon transfers and Universal Cuff.Acta orthopaedica et traumatologica turcica · 2017Article
- Essential gains and health after upper-limb tetraplegia surgery identified by the International classification of functioning, disability and health (ICF).Spinal cord · 2017Article
- Motor exam of patients with spinal cord injury: a terminological imbroglio.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017Review
- Voluntary activation of biceps-to-triceps and deltoid-to-triceps transfers in quadriplegia.PloS one · 2017Article
- [Spinal cord injury: still an interdisciplinary challenge [corrected]].Der Orthopade · 2014Review
- Surgical rehabilitation of a tetraplegic hand: comparison of various methods of reconstructing an absent pinch and hook.Hand (New York, N.Y.) · 2014Article
- Tetraplegia or paraplegia with brachial diparesis? What is the most appropriate designation for the motor deficit in patients with lower cervical spinal cord injury?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2013Review
- Population-based utilities for upper extremity functions in the setting of tetraplegia.The Journal of hand surgery · 2009Article
- Assessing an Online Patient Decision Aid about Upper Extremity Reconstructive Surgery for Cervical Spinal Cord Injury: Pilot Testing Knowledge, Decisional Conflict, and Acceptability.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
purposeWe conducted a systematic review of the literature to summarize the available data on reconstructive surgeries involving pinch reconstruction and elbow extension restoration in people with tetraplegia.
methodsEnglish-language and French-language articles and abstracts published between 1966 and February 2007, identified through MEDLINE and EMBASE searches, bibliography review, and expert consultation, were reviewed for original reports of outcomes with pinch reconstruction and elbow extension restoration in tetraplegic patients after a spinal cord injury. Two reviewers independently extracted data on patient characteristics, surgical methods, and patient outcomes.
resultsOur search identified 765 articles, of which 37 met eligibility criteria (one article contained information on both elbow and pinch procedures). Results from 377 pinch reconstructions in 23 studies and 201 elbow extension restorations in 14 studies were summarized. The mean Medical Research Council score for elbow extension went from 0 to 3.3 after reconstruction. The overall mean postoperative strength measured after surgery for pinch reconstruction was 2 kg.
conclusionsMore than 500 patients having these procedures experienced a clinically important improvement for both procedures-one restoring elbow extension, and the other, pinch strength. Upper-limb surgeries markedly improved the hand function of people with tetraplegia. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.