
Expanded surgical options available to tailor specific functions require a deepened communication between patient and surgeon/caregivers to reach the best possible results. Specific needs like “be able to write by hand”, “dress myself”, “drive my manual wheelchair”, “better control of steering wheel”, “catherize myself” make it more easy to analyze the detailed components of these particular motions. Analyses of the combined and more complex motions give a better foundation for a dialogue of how well the surgical procedures and post-operative training can reach the prioritized goals.
This approach represents reasonable patient demands on surgeons and rehabilitation team and gives greater patient satisfaction. If, for any reason, there is a mismatch between patient wishes and surgeon’s predicted result, surgery must not be undertaken.
This approach represents reasonable patient demands on surgeons and rehabilitation team and gives greater patient satisfaction. If, for any reason, there is a mismatch between patient wishes and surgeon’s predicted result, surgery must not be undertaken.

It is important that the outcome of treatment match expectations and that treatment meets the prioritized goals of patient. The core of figure represents agreement upon what patient wants and what surgeon guarantees.Posted by Jan Fridén