Autor: |
E P, Egerszegi, R M, Zuker, L, Caouette-Laberge, R T, Manktelow, A M, McLeod, S E, Candlish, N, Garon |
Jazyk: |
francouzština |
Rok vydání: |
1991 |
Předmět: |
|
Zdroj: |
Annales de chirurgie. 45(9) |
ISSN: |
0003-3944 |
Popis: |
Children are particularly prone to developing moderate to severe Volkmann's ischemic contracture following a supracondylar fracture of the humerus or its treatment. In order to treat such contractures, intensive hand therapy and a gracilis free muscle transfer to the digital flexors were used in 8 patients at an average age of 6 years 2 months. All transfers were successful. At follow-up (1 to 8 years, average 3 years), despite limited wrist extension in 5/8 patients and mean grip and pinch strengths between 22 and 43% of normal for age and dominance, all patients regained considerable finger flexor excursion (tip to crease distances of 0 to 5.0 cms, average 1.68 cms). Although fine motor assessment using the M.A.N.D. battery of tests placed the patients in the moderate disability range, 7/8 patients became independent in the tested activities of daily living with the exception of buttoning a cuff with the involved hand, which was difficult for 5/8 subjects. Quantifiable measurements underestimated the renewed importance of the operated hand. Compensatory motion at the shoulder allowed positioning the hand which changed from being nearly useless to becoming a functionally non-dominant hand well integrated into daily life. |
Databáze: |
OpenAIRE |
Externí odkaz: |
|