Long-Term Follow-Up of the Flexor Carpi Ulnaris Transfer in Spastic Hemiplegic Children
| Autor: | Mihran O. Tachdjian, John Thometz |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Male
Reoperation musculoskeletal diseases Spasm medicine.medical_specialty Contracture Flexor Carpi Ulnaris Tendon Transfer Hemiplegia Ulna Wrist Supination Cerebral palsy Patient Education as Topic Spastic Humans Medicine Pronation Orthopedics and Sports Medicine Child Retrospective Studies Postoperative Care business.industry Cerebral Palsy Flexor carpi ulnaris muscle General Medicine musculoskeletal system medicine.disease Surgery body regions Forearm medicine.anatomical_structure Thumb Child Preschool Pediatrics Perinatology and Child Health Orthopedic surgery Upper limb Female Stereognosis medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Orthopaedics. 8:407-412 |
| ISSN: | 0271-6798 |
| Popis: | A retrospective study was performed on 25 patients with cerebral palsy who underwent transfer of the flexor carpi ulnaris to the radial wrist extendors. The mean age at the time of surgery was 8 years 1 month. The mean follow-up was 8 years 7 months. At follow-up, the mean active wrist dorsiflexion was 44.2 degrees, palmar flexion was 19.0 degrees, supination was 40.2 degrees, and pronation was 53.4 degrees. According to a modification of Green's evaluation system, there were six excellent, nine good, five fair, and five poor results. Two patients required further surgery to correct a supination, dorsiflexion contracture. We found the transfer to be quite effective in improving wrist dorsiflexion, although there was often a significant loss of active palmar flexion postoperatively. The patient therefore should have good digital extension (with the wrist extended passively above neutral) to be considered for the transfer. |
| Databáze: | OpenAIRE |
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