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Surgical management of the hand in infantile spastic hemiplegia
ZANCOLLI EA
HAND CLIN , 2003, vol. 19, n° 4, p. 609-629 Doc n°: 110970 Descripteurs : DD861 - TRAITEMENT CHIRURGICAL - MAIN-DOIGTS Résumé anglais : Upper limb surgery in cerebral palsy is efficacious for patients with a spastic or predominantly spastic pattern of deformity The deformity can be classified into groups I, IIA, IIB, and III, according to the ability to extend the fingers with altered wrist position and the presence or absence of active wrist extension. This scenario allows surgical planning, following clinical assessment, with selection of appropriate muscle releases, tendon transfers, and joint stabilizations that are directed to specific clinical presentations. In 47 patients, outcomes were satisfactory in more than 90% of patients in groups I and II, but were less successful in group III patients. Langue : ANGLAIS Identifiant basis : 2004229037 Thème code : AJ2 |
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