title: 4.5 year follow-up after surgical correction of upper extremity deformities in spastic cerebral palsy.
abstract: Reconstructive surgery was carried out on 27 upper extremities in 24 children with deformities due to spastic cerebral palsy. Functional evaluation of the affected extremities was made preoperatively, at 6 months and at a mean of 4.5 years postoperatively using a score added to the assessment system described by the Committee on Spastic Hand Evaluation. According to the score, dysfunction of the arm was significantly reduced 6 months after the reconstructive surgery and the improvements remained essentially unchanged at the later follow-up. The addition of a score to the original assessment system facilitated the overall assessment of postoperative results.
authors.affiliation: Department of Plastic Surgery, Hand Surgery and Burns, University Hospital, Linköping, Sweden.
authors.forename: G
authors.initials: G
authors.lastname: Nylander
authors.forename: C
authors.initials: C
authors.lastname: Carlström
authors.forename: L
authors.initials: L
authors.lastname: Adolfsson
mesh_terms: D000293:Adolescent; D000328:Adult; D001132:Arm / Q000601:surgery*; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006225:Hand / Q000601:surgery*; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000601:surgery; D006801:Humans; D009128:Muscle Spasticity