G. Nylander et al., 4.5 year follow-up after surgical correction of upper extremity deformities in spastic cerebral palsy, J HAND S-BR, 24B(6), 1999, pp. 719-723
Citations number
19
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
Reconstructive surgery was carried out on 27 upper extremities in 24 childr
en with deformities due to spastic cerebral palsy. Functional evaluation of
the affected extremities was made preoperatively, at 6 months and at a mea
n of 4.5 years postoperatively using a score added to the assessment system
described by the Committee on Spastic Hand Evaluation. According to the sc
ore, dysfunction of the arm was significantly reduced 6 months after the re
constructive surgery and the improvements remained essentially unchanged at
the later follow-up. The addition of a score to the original assessment sy
stem facilitated the overall assessment of postoperative results.