The use of the key grip procedure for improving hand function in quadriplegia.

Reconstruction of the quadriplegic hand can give marked functional improvement. In 1975 the key grip procedure was introduced on the Spinal Injuries Unit at Rancho Los Amigos Hospital. Twenty of the first twenty-four cases operated on have obtained a useful improvement, and the reasons for the four failures are readily seen. In correctly cases the key grip procedure is of benefit to the patient and complications are relatively minor.