Combined nerve and tendon transfer strategy for the restoration of grasp in tetraplegia; a case report
2025

Restoring Hand Function in Tetraplegia with Combined Nerve and Tendon Transfers

Sample size: 2 publication Evidence: low

Author Information

Author(s): Lina Bunketorp Käll, Johanna Wangdell, Carina Reinholdt, Jan Fridén

Primary Institution: Center for Advanced Reconstruction of Extremities (CARE), Sahlgrenska University Hospital/Mölndal, Mölndal, Sweden

Hypothesis

Can combined nerve and tendon transfer procedures restore hand function in patients with tetraplegia?

Conclusion

The combined nerve and tendon transfer procedure successfully restored useful grasp and release function and increased occupational performance in patients with tetraplegia.

Supporting Evidence

  • Both patients showed significant improvements in grip strength and hand function after the surgeries.
  • The patients were able to perform daily activities and return to work after the procedures.
  • Long-term follow-ups indicated sustained functional gains in hand use.

Takeaway

Doctors combined two types of surgeries to help two women with paralysis use their hands better, and it worked really well!

Methodology

The study involved two patients who underwent bilateral nerve transfer followed by tendon transfers to restore hand function.

Limitations

The study is based on only two case reports, and larger controlled studies are needed to confirm the findings.

Participant Demographics

Two women, both aged 45, with complete tetraplegia due to cervical spinal cord injuries.

Digital Object Identifier (DOI)

10.1038/s41394-024-00695-6

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