脳性麻痺前腕回内変形に対する手術的矯正について

抄録

Between 1980 and 1988, lengthening of the pronator teres and flexor carpi radialis was performed in 56 pronation deformities of the forearm in 55 patients with cerebral palsy. Twenty of these were monitored and the mean age at the time of surgery was 17 years and 7 months. The mean period of follow-up was 1 year and 5 months. Before surgery, the mean active supination was 1.7 degrees. At the end of the follow-up, it was improved to 39 degrees. According to Sakellarides' evaluation system, there were 8 excellent, 3 good, 4 fair, and 6 poor results. We found that this method was effective to correct a pronation deformity excluding fixed Contracture cases. There were 6 poor results in the fixed contracture cases. The causes of these results were discussed.