ABSTRACT
The pivotal role of elbow extension for the outcome of upper-extremity reconstruction is well documented and generally accepted. For all individuals with tetraplegia, the restoration of elbow extension is key for the control of trunk stability, arm control and hand function. A better understanding of the underlying decision-making process before, during and after reconstruction of elbow extension can assist the surgeon in refining the surgical rehabilitation of the upper extremity in tetraplegia. This chapter gives an overview of the two most important surgical methods for reconstruction of elbow extension, and includes pertinent aspects of well-known complications and strategies to avoid elongation of tendon-to-tendon attachments after surgery.
