Cerebral Palsy-Wrist Arthrodesis in Cerebral Palsy

Wrist Arthrodesis in Cerebral Palsy

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In this scientific article, the authors discuss the use of wrist arthrodesis as a treatment option for patients with cerebral palsy and severe spastic wrist deformities. The study evaluates the use of a dorsal plating technique and the need for bone grafting. The researchers found that the union rate following dorsal plating was 98%, indicating a high success rate of the procedure. However, hardware complications were common, with 18 patients requiring hardware removal due to plate irritation. The study also found that patients experienced significant improvements in appearance, function, hygiene, ease of daily care, and overall satisfaction after the procedure. The Disability Assessment Scale scores improved significantly from a preoperative mean of 9.6 to a postoperative mean of 5.5. The visual analog scale scores also demonstrated substantial improvements in various areas. Overall, the study concludes that wrist arthrodesis using a dorsal plating technique is effective in improving appearance, hygiene, and function in patients with cerebral palsy. The study recommends routine hardware removal due to the high rate of complications.

Keywords

wrist arthrodesis

cerebral palsy

spastic wrist deformities

dorsal plating technique

bone grafting

union rate

hardware complications

improvements in appearance

improvements in function

complications