Functional gains after surgical procedures in spastic upper extremity: a comparative study between children and adults

Journal of Pediatric Orthopedics. Part B
Konstantinos N MalizosNikolaos S Rigopoulos

Abstract

Thirty-four patients with spastic upper extremity secondary to cerebral palsy underwent operative treatment with bony and soft tissue procedures including osteotomies, capsulotomies tendon transfers, lengthening and releases. The follow-up ranged from 24 months to 9 years with a mean of 52 months. For the evaluation of the surgical outcome patients were classified into two age groups, one younger (4-14 years) and one older (15-34 years). All patients in both the groups presented with significant improvement postoperatively. Patients who were operated early (first group) had statistically better results in a series of tasks that were used for evaluation. We suggest early intervention with all necessary surgical steps which should be individualized depending on patient's situation and needs.

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Citations

Apr 1, 1993·Enzyme and Microbial Technology·A L Margolin
Apr 7, 2011·PloS One·Leonard A MermelStephen Parenteau
Jan 13, 2017·Soft Robotics·Nadia ChengWilliam Culley

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