Traumatic tetraplegia is an overwhelming injury often requiring perman
ent adaptations by patients and families. The greatest potential for i
mproving the quality of life lies with rehabilitation and restoration
of upper extremity function. Reconstructive hand surgery following tet
raplegia is individualized based on functional level and can significa
ntly improve hand function and quality of life. Careful selection and
evaluation of surgical candidates in combination with an experienced s
urgeon and hand rehabilitation team are critical for a successful outc
ome. (C) 1996 by the American Congress of Rehabilitation Medicine and
the American Academy of Physical Medicine and Rehabilitation