Email this article 
SURGICAL TREATMENT OF PRONATION CONTRACTURE OF THE FOREARM IN PATIENTS WITH INFANTILE CEREBRAL PALSY
- Authors: Novikov V.A.1, Umnov V.V.1, Zvozil A.V.1
-
Affiliations:
- FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
- Issue: Vol 2, No 1 (2014)
- Pages: 39-45
- Section: Articles
- URL: https://journals.eco-vector.com/turner/article/view/264
- DOI: https://doi.org/10.17816/PTORS2139-45
- ID: 264
Cite item
Full Text
Abstract
The objective of the work was to evaluate the efficiency of the existing methods of surgical treatment of pronation contracture of the forearm, the modification of the existing methods of treatment, the development of the indications for each specific method of treatment. Materials and methods. This study is based on a survey of children suffering from infantile cerebral palsy affecting the upper limbs. The main criterion for the patient selection was the presence of a fixed pronation contracture of the forearm, both isolated and combined with other contractures of the joints of the upper limb. Total 42 patients with spastic forms of cerebral palsy were examined. Results and conclusions. With age of the patient, the pronation contracture is usually increased, the contractures of the elbow and wrist joints may develop, which leads to the necessity for more and more radical operative techniques. Therefore, the early surgical treatment allows obtaining optimal results with its minimum scope. The investigation data gave an option to simplify, but to increase the efficiency of surgical treatment methods of pronation contractures in children with infantile cerebral palsy.
About the authors
Vladimir Alexandrovich Novikov
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federationresearch associate of the department of infantile cerebral palsy
Valery Vladimirovich Umnov
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation
Email: umnovvv@gmail.com
MD, DMedSc, Head of the department of infantile cerebral palsy
Alexei Vasilievich Zvozil
FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian FederationMD, PhD, senior research associate of the department of infantile cerebral palsy
References
- Бадалян Л. О. Детская неврология / Л. О. Бадалян. М.: Медпресс-информ, 2001. 607 с.
- Ненько А. М. Хирургическое лечение контрактур и деформаций верхней конечности у детей с церебральными параличами / А. М. Ненько. СПб., 1992.
- Семенова К. А. Восстановительное лечение больных с резидуальной стадией детского церебрального паралича / К. А. Семенова. М.: Антидор, 1999. 384 с.
- Cheema T. A. Biomechanic comparison of 3 tendon transfers for supination of the forearm / T. A. Cheema, K. Firoozbakhsh, A. F. De Carvalho, D. Mercer // J. Hand. Surg. 2006. Vol. 31. P. 1640-1644.
- Dahlin L. B. Surgery of the spastic hand in cerebral palsy. Improvement in stereognosis and hand function after surgery / L. B. Dahlin, Y. Komoto-Tufvesson, S. Sälgeback // J. Hand. Surg. Br. 1998. Vol. 23(3). P. 334-339.
- Gschwind C. Surgery for cerebral palsy: Part 1. Classification and operative procedures for pronation deformity / C. Gschwind, M. Tonkin // J. Hand. Surg. 1992. Vol. 17. P. 391-396.
- Miller F. Cerebral palsy / F. Miller. N. Y., 2005. P. 387-432.
- Özkan T. Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy / T. Özkan, S. Tunçer, A. Aydin, Z. Hoşbay, A. Gülgönen // J. Hand. Surg. 2004. Vol. 29. P. 263-271.
- Özkan T. Brachialis muscle transfer to the forearm for the treatment of deformities in spastic cerebral palsy / T. Ozkan, A. Bicer, H. U. Aydin, S. Tunçer, A. Aydin, Z. Y. Hosbay // J. Hand. Surg. Eur. 2013. Vol. 38. P. 14-21.
- Ozkan T. Tendon transfers for the upper extremity in cerebral palsy / T. Ozkan, S. Tunçer // Acta. Orthop. Traumatol. Turc. 2009. Vol. 43. P. 135-183.
- Roth J. H. Functional outcome of upper limb tendon transfers performed in children with spastic hemiplegia / J. H. Roth, S. E. O'Grady, R. S. Richards, A. M. Porte // J. Hand. Surg. Br. 1993. Vol. 18. P. 299-303.
- Sakellarides H. T. Treatment of pronation contractures of the forearm in cerebral palsy by changing the insertion of the pronator radii teres / H. T. Sakellarides, M. A. Mital, W. D. Lenzi // J. Bone. Joint. Surg. 1981. Vol. 63. P. 645-697.
- Strecker W. B. Comparison of pronator tenotomy and pronator rerouting in children with spastic cerebral palsy / W. B. Strecker, J. P. Emanuel, L. Dailey, P. R. Manske // J. Hand. Surg. 1988. Vol. 13. P. 540-543.
- Van Heest A. E. Cadaveric modeling of the pronator teres rerouting tendon transfer / A. E. Van Heest, M. Sathy, L. Schutte // J. Hand. Surg. 1999. Vol. 24. P. 614-622.
- Veeger H. E. Mechanical evaluation of the Pronator Teres rerouting tendon transfer / H. E. Veeger, M. Kreulen, M. J. Smeulders // J. Hand. Surg. Br. 2004. Vol. 29(3). P. 259-264.
Supplementary files
