Article

We report clinical and radiographic outcomes of wrist fusion achieved with pin or
plate fixation in 14 patients with severe quadriplegic cerebral palsy (CP) (19
wrists). Average patient age at the time of surgery was 16.8 +/- 1.7 years (14-20
years). Mean follow-up time for the 14 patients was 5.9 +/- 3.1 years (range,
1-11 years). Indication for surgery was severe wrist deformity that interfered
with hygienic care. Few complications occurred, and outcomes were satisfactory.
Statistically significant mean difference was shown between the pre- and
postoperative radiographic angles (37 degrees , P = 0.001, and 24 degrees , P =
0.04, for lateral and anteroposterior views, respectively). Caregivers reported
that appearance was the most perceived rationale for surgery (63 %). Improved
hygienic care was the primary perceived benefit. The majority (88 %) were
satisfied with the results. We recommend wrist fusion to improve hygienic care,
positioning, and appearance of the wrist, hand, and fingers in patients with
severe quadriplegic CP.

Langue : ANGLAIS