Wrist arthrodesis with volar plate fixation in cerebral palsy.
Wrist arthrodesis can obtain better appearance, hygiene, and ease of daily care, with some degree of functional improvement in patients with cerebral palsy with a severe wrist flexion deformity. Rigid fixation using a dorsal plate and screws has been accepted as a reliable technique, although hardware-related problems are relatively common. We describe a volar plate fixation technique for wrist arthodesis in cerebral palsy, which can allow concomitant flexor tendon release and avoid a prominent hardware and a cosmetically undesirable scar on the dorsum of the wrist.
Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea. hsgong@snu.ac.kr
Hyun Sik
HS
Gong
Jong Yeol
JY
Kang
Joon Oh
JO
Lee
Moon Sang
MS
Chung
Goo Hyun
GH
Baek
D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods* / Q000534:rehabilitation; D001860:Bone Plates; D001863:Bone Screws; D002547:Cerebral Palsy / Q000150:complications*; D006429:Hemiplegia; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D008297:Male; D009128:Muscle Spasticity; D053401:Palmar Plate / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*