Surgical treatment of thumb adduction contracture in children with infantile cerebral palsy

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Abstract


The purpose of the work is to evaluate the effectiveness of different methods of surgical treatment of thumb adduction contracture in children with infantile cerebral palsy.

Materials and methods.

The present study is based on diagnostic results of children with infantile cerebral palsy with affected upper limb. The main criterion for selection of patients was the presence of thumb adduction contracture, the absence of significant positive outcome in a patient after conservative treatment, the impossibility of active thumb abduction more than 30° and the instability of the first metacarpophalangeal joint. Total we examined and treated 9 patients with spastic types of cerebral palsy.

Results and conclusions.

We evaluated the results of the following types of surgical treatment: release of adductor pollisis muscle, release of adductor pollisis muscle and tendon shortening of m.abductor pollicis longus, release of adductor pollisis muscle and tendon transfer of m.extensor indicis in the tendon m. abductor pollicis longus, the fixation of the first metacarpophalangeal joint with extramedullary plate. Based on these data, we were able to confirm the effectiveness of surgical treatment of thumb adduction contracture.


Vladimir Alexandrovich Novikov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Author for correspondence.
Email: umnovvv@gmail.com

Russian Federation MD, research associate of the department of infantile cerebral palsy. The Turner Scientific and Research Institute for Children’s Orthopedics

Valery Vladimirovich Umnov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: umnovvv@gmail.com

Russian Federation MD, PhD, professor, head of the department of infantile cerebral palsy. The Turner Scientific and Research Institute for Children’s Orthopedics

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Copyright (c) 2015 Novikov V.A., Umnov V.V.

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