Tags

Type your tag names separated by a space and hit enter

Wrist arthrodesis in adolescents with cerebral palsy.
J Hand Surg Eur Vol. 2016 Sep; 41(7):758-62.JH

Abstract

Twenty adolescents with severe spastic deformities of the wrist (Zancolli type 3) and poor function on the House score were operated on between 2009 and 2014, and included in this retrospective cohort study. All were treated by wrist arthrodesis combining a proximal row carpectomy, curetting of the distal radius in order to imbed the capitate and a dorsal locking plate. The primary endpoint was improvement in the House score. Secondary endpoints included pre- and postoperative wrist flexion deformity, bone union, patient satisfaction regarding appearance and complications. The mean follow-up was 22 months. The mean age at the time of surgery was 16.2 years. Additional soft-tissue release was necessary in eight wrists. The mean House score improved significantly from 0.9 to 2.7. Average flexion deformity improved significantly from 66° to 10°. Bony union was achieved in all patients within 6 months. Four of the 20 patients required hardware removal because of fixed extension of the middle metacarpal. Wrist arthrodesis combining proximal row carpectomy with the use of a dorsal locking plate is a safe and reliable technique to improve function and appearance.

LEVEL OF EVIDENCE

IV.

Authors+Show Affiliations

Department of Pediatric Orthopedic and Reconstructive Surgery, Trousseau Hospital, Paris, France.Department of Pediatric Orthopedic and Reconstructive Surgery, Trousseau Hospital, Paris, France.Department of Pediatric Orthopedic and Reconstructive Surgery, Trousseau Hospital, Paris, France.Department of Pediatric Orthopedic and Reconstructive Surgery, Trousseau Hospital, Paris, France franck.fitoussi@aphp.fr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26768218

Citation

Donadio, J, et al. "Wrist Arthrodesis in Adolescents With Cerebral Palsy." The Journal of Hand Surgery, European Volume, vol. 41, no. 7, 2016, pp. 758-62.
Donadio J, Upex P, Bachy M, et al. Wrist arthrodesis in adolescents with cerebral palsy. J Hand Surg Eur Vol. 2016;41(7):758-62.
Donadio, J., Upex, P., Bachy, M., & Fitoussi, F. (2016). Wrist arthrodesis in adolescents with cerebral palsy. The Journal of Hand Surgery, European Volume, 41(7), 758-62. https://doi.org/10.1177/1753193415625611
Donadio J, et al. Wrist Arthrodesis in Adolescents With Cerebral Palsy. J Hand Surg Eur Vol. 2016;41(7):758-62. PubMed PMID: 26768218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wrist arthrodesis in adolescents with cerebral palsy. AU - Donadio,J, AU - Upex,P, AU - Bachy,M, AU - Fitoussi,F, Y1 - 2016/01/14/ PY - 2015/08/03/received PY - 2015/12/10/accepted PY - 2016/1/16/entrez PY - 2016/1/16/pubmed PY - 2017/11/29/medline KW - Cerebral palsy KW - children KW - wrist arthrodesis SP - 758 EP - 62 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol VL - 41 IS - 7 N2 - UNLABELLED: Twenty adolescents with severe spastic deformities of the wrist (Zancolli type 3) and poor function on the House score were operated on between 2009 and 2014, and included in this retrospective cohort study. All were treated by wrist arthrodesis combining a proximal row carpectomy, curetting of the distal radius in order to imbed the capitate and a dorsal locking plate. The primary endpoint was improvement in the House score. Secondary endpoints included pre- and postoperative wrist flexion deformity, bone union, patient satisfaction regarding appearance and complications. The mean follow-up was 22 months. The mean age at the time of surgery was 16.2 years. Additional soft-tissue release was necessary in eight wrists. The mean House score improved significantly from 0.9 to 2.7. Average flexion deformity improved significantly from 66° to 10°. Bony union was achieved in all patients within 6 months. Four of the 20 patients required hardware removal because of fixed extension of the middle metacarpal. Wrist arthrodesis combining proximal row carpectomy with the use of a dorsal locking plate is a safe and reliable technique to improve function and appearance. LEVEL OF EVIDENCE: IV. SN - 2043-6289 UR - https://www.unboundmedicine.com/medline/citation/26768218/Wrist_arthrodesis_in_adolescents_with_cerebral_palsy_ L2 - https://journals.sagepub.com/doi/10.1177/1753193415625611?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -