[Treatment of flexion-pronation contracture of the wrist in hemiplegic children].
Thirty-three cases of infantile spastic hemiplegia have been treated surgically for wrist deformity in flexion, pronation and ulnar deviation. The authors used Green's technique in most of the cases (transplantation of flexor carpi ulnaris to the extensores carpi) either in isolation or in association with lengthening of the pronator teres. The indications for surgery are given and the details of surgical technique and postoperative care are described. The complications are described and the factors affecting prognosis are analysed. Half of the cases had good or excellent results; five were failures.
D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006227:Hand Deformities, Acquired / Q000601:surgery*; D006429:Hemiplegia / Q000150:complications*; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000150:complications*; D011379:Prognosis; D013709:Tendon Transfer / Q000379:methods; D014953:Wrist / Q000601:surgery*
Traitment de la flexion pronation du poignet chez l'enfant hémiplégique