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Surgical treatment of thumb adduction contracture in children with infantile cerebral palsy
- Authors: Novikov V.A.1, Umnov V.V.1
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Affiliations:
- The Turner Institute for Children’s Orthopedics, Saint-Petersburg
- Issue: Vol 3, No 2 (2015)
- Pages: 25-31
- Section: Articles
- URL: https://journals.eco-vector.com/turner/article/view/455
- DOI: https://doi.org/10.17816/PTORS3225-31
- ID: 455
Cite item
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.
About the authors
Vladimir Alexandrovich Novikov
The Turner Institute for Children’s Orthopedics, Saint-Petersburg
Author for correspondence.
Email: umnovvv@gmail.com
MD, research associate of the department of infantile cerebral palsy. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
Valery Vladimirovich Umnov
The Turner Institute for Children’s Orthopedics, Saint-Petersburg
Email: umnovvv@gmail.com
MD, PhD, professor, head of the department of infantile cerebral palsy. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation
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