USE OF THE GREEN TRANSFER IN TREATMENT OF PATIENTS WITH SPASTIC CEREBRAL-PALSY - 17-YEAR EXPERIENCE

被引：41

作者：

BEACH, WR ^{[1
]}

STRECKER, WB ^{[1
]}

COE, J ^{[1
]}

MANSKE, PR ^{[1
]}

SCHOENECKER, PL ^{[1
]}

DAILEY, L ^{[1
]}

机构：

[1] WASHINGTON UNIV,SCH MED,DIV ORTHOPED SURG,ST LOUIS,MO 63110

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 06期

关键词：

CEREBRAL PALSY; GREEN TRANSFER;

D O I：

10.1097/01241398-199111000-00006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We retrospectively reviewed Green procedures and transfer of the flexor carpi ulnaris (FCU) in treatment of spastic forearm pronation, wrist volarflexion, and ulnar deviation deformities. Patients' ages ranged from 3 years 5 months to 16 years 5 months. Surgically, a single volar incision was made and the extensor carpi radialis brevis and/or longus (ECRB, ECRL) were used for insertion. The FCU was tensioned at neutral against gravity and immobilized in 5-degrees of dorsiflexion and 45-degrees of supination. Arc of flexion (47-degrees) did not change but was centered about neutral. Supination improved markedly when operation included a pronator procedure. Quadriplegia athetosis and intellectual impairment did not affect the operative result adversely. Patients aged > 12 years showed less functional improvement. Eighty-eight percent had cosmetic improvement, and 79% improved functionally. None had a decreased functional rating.

引用

页码：731 / 736

页数：6

共 14 条

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