Upper Extremity Reconstruction Surgery for the Persons with Tetraplegia: Current Status and Solutions to Promote the Procedures in Korea. |
Lee, Sang Yoon , Shin, Hyung Ik , Gong, Hyun Sik , Bin, Sung Woo , Bang, Moon Suk |
1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. hyungik1@snu.ac.kr 2Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea. |
사지마비 환자에 대한 상지 재건술: 국내 실태와 활성화 방안 |
이상윤, 신형익, 공현식1, 빈성우1, 방문석 |
서울대학교 의과대학 재활의학교실, 1정형외과학교실 |
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Abstract |
Objective To know the present status of upper extremity reconstruction surgery for the person with tetraplegia in Korea and to suggest solutions to promote the procedures. Method 62 physiatrists and 42 hand surgeons were surveyed with self administered questionnaire. The questionnaire was made up of 5 categories: (1) whether physicians had experienced these procedures in the past three years, (2) if they have had no experience, what the reasons were, (3) whether physicians desired to be involved in these procedures, (4) what the solution to promote these procedures should be, (5) the attitudes and beliefs of physicians about these procedures. The last category was analyzed by odds ratio between physicians who desired to be involved in the procedure and who didn't. Results Only two physiatrists and six surgeons had experienced these procedures in the past three years. However many physicians desired to be involved in these procedures. The main reason of not performing these procedures was a lack of referral between physiatrists and surgeons. The physicians who desire to practice upper extremity reconstruction surgery or related rehabilitation had higher confidence on the benefits of the procedures and thought that they had knowledge and skills for the procedure. Conclusion In spite of positive attitude to the upper extremity reconstruction for tetraplegic patients, few physicians have experienced in these procedures. This phenomenon was due to a lack of referral between physiatrists and surgeons. Advancing cross-specialty relationships and educating related physicians could be solutions to promote these procedures. (J Korean Acad Rehab Med 2008; 32: 175-181)
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Key Words:
Tetraplegia, Tendon transfer, Spinal cord injury, Surgery |
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