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- W3149015008 abstract "Objective To evaluate the effectiveness of the median nerve constrictive operation combined with tendon transfer to treat the brain paralysis convulsive deformity of the hand. Methods The clinical data from 21 cases with brain paralysis convulsive deformity of the hand were analyzed retrospectively between August 2009 and April 2012. Of them, there were 13 males and 8 females with an average age of 15 years(range, 10-29 years). The causes of the convulsive cerebral palsy included preterm deliveries in 11 cases, hypoxia asphyxia in 7, traumatic brain injury in 2, and encephalitis sequela in 1. The disease duration was 2-26 years(mean, 10.6 years). All the 21 patients had cock waists, crooking i ngers, and contracture of adductors pollicis, 12 had the forearm pronation deformity. According to Ashworth criteria, there were 2 cases at level I, 5 cases at level II, 8 cases at level III, 4 cases at level IV, and 2 cases at level V. All patients had no intelligence disturbances. The forearm X-ray film showed no bone architectural changes before operation. The contraction of muscle and innervation was analyzed before operation. The median nerve constrictive operation combined with tendon transfer was performed. The functional activities and deformity improvement were evaluated during follow-up. Results After operation, all the patients' incision healed by first intension, without muscle atrophy and ischemic spasm. All the 21 cases were followed up 1.5-4.5 years(mean, 2.3 years). No superi cial sensory loss occurred. The effectiveness was excellent in 13 cases, good in 6 cases, and poor in 2 cases, with an excellent and good rate of 90.4% at last follow-up. Conclusion The median nerve constrictive operation combined with tendon transfer to treat brain paralysis convulsive deformity of the hand can remove and prevent the recurrence of spasm, achieve the orthopedic goals, to assure the restoration of motor function and the improvement of the life quality." @default.
- W3149015008 created "2021-04-13" @default.
- W3149015008 creator A5017257700 @default.
- W3149015008 date "2014-01-01" @default.
- W3149015008 modified "2023-09-23" @default.
- W3149015008 title "MEDIAN NERVE CONSTRICTIVE OPERATION COMBINED WITH TENDON TRANSFER TO TREAT BRAIN PARALYSIS CONVULSIVE DEFORMITY OF HAND" @default.
- W3149015008 hasPublicationYear "2014" @default.
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