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Since April 2003, tenodesis of the extensor digitorum communis tendons was no longer performed because it limited wrist flexion, and two-stage operations to restore active grasp were replaced by one-stage procedures. In total, 34 patients (58 upper limbs) completed questionnaires about function and satisfaction at a mean follow-up of 14 years (range 4\u201324) since their first operation; 26 were satisfied, 30 would have the operation again and 31 benefitted from the surgery. Surgical procedures, such as tendon transfers, arthrodesis and tenodesis, can have a positive effect on patient-perceived function and satisfaction in the long term in most of these patients.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    IV\n                  <\/jats:p>","DOI":"10.1177\/17531934241246459","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T04:16:50Z","timestamp":1713586610000},"page":"1318-1326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical procedures to improve hand function in tetraplegic patients: patient satisfaction and outcomes over a 20-year period"],"prefix":"10.1177","volume":"49","author":[{"given":"Cyri\u00eblle","family":"Stevens","sequence":"first","affiliation":[{"name":"Ghent University Hospital, Ghent, Belgium"},{"name":"Sint Jozefskliniek, Izegem, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Vanden Berghe","sequence":"additional","affiliation":[{"name":"Ghent University Hospital, Ghent, Belgium"},{"name":"Sint Jozefskliniek, Izegem, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6101-8170","authenticated-orcid":false,"given":"Nadine","family":"Hollevoet","sequence":"additional","affiliation":[{"name":"Ghent University Hospital, Ghent, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,20]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2020.05.012"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2017.12"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(83)80034-5"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.10.029"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anplas.2018.11.001"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211027460"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2011.11.002"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193419827814"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e31821b5896"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2018.07.001"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772314Y.0000000259"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(76)80009-3"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.21"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100772"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557020-00012"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B6.1447249"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.08.098"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934221113739"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1991.14"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410373184"},{"key":"e_1_3_3_23_1","first-page":"30","article-title":"Upper extremity surgery in stroke patients","volume":"131","author":"Waters RL.","year":"1978","unstructured":"Waters RL. 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