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Chondrodesis of the wrist in children with severe paralytic hand deformities.
Hand Surg Rehabil. 2020 09; 39(4):251-255.HS

Abstract

We examined the anatomical and clinical results of a new wrist subphyseal arthrodesis method called chondrodesis, which relies on resorbable suture-bone fixation for children with severe paralytic hand deformities and does not require fixation devices or bone grafting. Four children's wrists underwent the procedure, resulting in three successful wrist bone fusions. The wrists were stabilized by joint fusion in 4-5 months in good positions, ranging from neutral to extension 15°, while still allowing the forearm to keep growing since the radial growth plate remained open as of the last follow-up. The procedure improved hand function (House score, Raimondi score) and appearance. It also increased control over gripping motions with the operated hand, and even restored key pinch ability in one of the patients. The youngest patient was not able to achieve bone fusion at the key sites and will need further corrective procedures at a later and more optimal age. This novel procedure is appealing because of its technical reproducibility, low cost, encouraging outcomes, ease of rehabilitation, and because it spares the physeal cartilage.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Boulahouache A
Orthopedic clinic, hand surgery, Cité 280 Logts-Draa el bordjBt17, 10000 Bouira, Algeria. Electronic address: abdelaziz.boulahouache@gmail.com.
Cambon-Binder A
Service de chirurgie orthopédique et traumatologique - SOS main, Hôpital Saint-Antoine, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France. Electronic address: adeline_cambon@yahoo.fr.
Chouiha M
Cité Hachi Abderrahmane 160/20, 17000 Djelfa, Algeria. Electronic address: Chouiha.mokhtar@gmail.com.
Lardjane ML
19, rue Berouaken, Boudouaou, 35000 Boumerdes, Algeria. Electronic address: ml.lardjane@gmail.com.
Belkheyar Z
8-10, rue de la Folie-Regnault, 75011 Paris, France. Electronic address: belkheyar.zoubir@gmail.com.

MeSH

AdolescentArthrodesisBirth InjuriesBrachial Plexus NeuropathiesCerebral PalsyChildFemaleHand DeformitiesHemiplegiaHumansMaleRetrospective StudiesWrist Joint

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32244070

Citation

Boulahouache, A, et al. "Chondrodesis of the Wrist in Children With Severe Paralytic Hand Deformities." Hand Surgery & Rehabilitation, vol. 39, no. 4, 2020, pp. 251-255.
Boulahouache A, Cambon-Binder A, Chouiha M, et al. Chondrodesis of the wrist in children with severe paralytic hand deformities. Hand Surg Rehabil. 2020;39(4):251-255.
Boulahouache, A., Cambon-Binder, A., Chouiha, M., Lardjane, M. L., & Belkheyar, Z. (2020). Chondrodesis of the wrist in children with severe paralytic hand deformities. Hand Surgery & Rehabilitation, 39(4), 251-255. https://doi.org/10.1016/j.hansur.2020.02.007
Boulahouache A, et al. Chondrodesis of the Wrist in Children With Severe Paralytic Hand Deformities. Hand Surg Rehabil. 2020;39(4):251-255. PubMed PMID: 32244070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chondrodesis of the wrist in children with severe paralytic hand deformities. AU - Boulahouache,A, AU - Cambon-Binder,A, AU - Chouiha,M, AU - Lardjane,M-L, AU - Belkheyar,Z, Y1 - 2020/03/31/ PY - 2018/10/10/received PY - 2020/02/13/revised PY - 2020/02/18/accepted PY - 2020/4/4/pubmed PY - 2021/9/15/medline PY - 2020/4/4/entrez KW - Arthrodèse du poignet KW - Cartilage de croissance KW - Cerebral palsy KW - Déformation du poignet KW - Hémiplégie spastique KW - Main paralytique KW - Obstetrical brachial plexus palsy KW - Paralysie cérébrale KW - Paralysie obstétricale du plexus brachial KW - Paralytic hand KW - Physis KW - Spastic hemiplegia KW - Wrist arthrodesis KW - Wrist deformities KW - Wrist fusion SP - 251 EP - 255 JF - Hand surgery & rehabilitation JO - Hand Surg Rehabil VL - 39 IS - 4 N2 - We examined the anatomical and clinical results of a new wrist subphyseal arthrodesis method called chondrodesis, which relies on resorbable suture-bone fixation for children with severe paralytic hand deformities and does not require fixation devices or bone grafting. Four children's wrists underwent the procedure, resulting in three successful wrist bone fusions. The wrists were stabilized by joint fusion in 4-5 months in good positions, ranging from neutral to extension 15°, while still allowing the forearm to keep growing since the radial growth plate remained open as of the last follow-up. The procedure improved hand function (House score, Raimondi score) and appearance. It also increased control over gripping motions with the operated hand, and even restored key pinch ability in one of the patients. The youngest patient was not able to achieve bone fusion at the key sites and will need further corrective procedures at a later and more optimal age. This novel procedure is appealing because of its technical reproducibility, low cost, encouraging outcomes, ease of rehabilitation, and because it spares the physeal cartilage. SN - 2468-1210 UR - https://www.unboundmedicine.com/medline/citation/32244070/Chondrodesis_of_the_wrist_in_children_with_severe_paralytic_hand_deformities. DB - PRIME DP - Unbound Medicine ER -