Long-term follow-up of the flexor carpi ulnaris transfer in spastic hemiplegic children. J Pediatr Orthop 1988;8(4):407-12
Date
07/01/1988Pubmed ID
3392191DOI
10.1097/01241398-198807000-00005Scopus ID
2-s2.0-0023950197 (requires institutional sign-in at Scopus site) 30 CitationsAbstract
A retrospective study was performed on 25 patients with cerebral palsy who underwent transfer of the flexor carpi ulnaris to the radial wrist extendors. The mean age at the time of surgery was 8 years 1 month. The mean follow-up was 8 years 7 months. At follow-up, the mean active wrist dorsiflexion was 44.2 degrees, palmar flexion was 19.0 degrees, supination was 40.2 degrees, and pronation was 53.4 degrees. According to a modification of Green's evaluation system, there were six excellent, nine good, five fair, and five poor results. Two patients required further surgery to correct a supination, dorsiflexion contracture. We found the transfer to be quite effective in improving wrist dorsiflexion, although there was often a significant loss of active palmar flexion postoperatively. The patient therefore should have good digital extension (with the wrist extended passively above neutral) to be considered for the transfer.
Author List
Thometz JG, Tachdjian MAuthor
John G. Thometz MD Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cerebral PalsyChild
Child, Preschool
Contracture
Female
Follow-Up Studies
Forearm
Hemiplegia
Humans
Male
Patient Education as Topic
Postoperative Care
Pronation
Reoperation
Retrospective Studies
Spasm
Stereognosis
Supination
Tendon Transfer
Thumb
Ulna
Wrist
