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Comparative Study
, 19 (5), 446-53

Functional Gains After Surgical Procedures in Spastic Upper Extremity: A Comparative Study Between Children and Adults

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Comparative Study

Functional Gains After Surgical Procedures in Spastic Upper Extremity: A Comparative Study Between Children and Adults

Konstantinos N Malizos et al. J Pediatr Orthop B.

Abstract

Thirty-four patients with spastic upper extremity secondary to cerebral palsy underwent operative treatment with bony and soft tissue procedures including osteotomies, capsulotomies tendon transfers, lengthening and releases. The follow-up ranged from 24 months to 9 years with a mean of 52 months. For the evaluation of the surgical outcome patients were classified into two age groups, one younger (4-14 years) and one older (15-34 years). All patients in both the groups presented with significant improvement postoperatively. Patients who were operated early (first group) had statistically better results in a series of tasks that were used for evaluation. We suggest early intervention with all necessary surgical steps which should be individualized depending on patient's situation and needs.

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