One stage correction of forearm pronation, wrist flexion and thumb in palm deformity in spastic cerebral palsy

Abstract

Thirty eight patients, with spastic cerebral palsy hemiplegic aged from 4to16 years with mean of 10 years had surgical procedures for the upper limb to increase functional status of hand. All the patients underwent various surgical procedures depending upon the necessity. IQ of all the patients were more than seventy. 36 patients felt an improvement in function, range of movement in the fore arm and wrist were also increased 74.7% the patients, thumb in palm deformity was completely corrected and resting position towards neutral and stability of hand were also some of the achievements of surgery. There was improvement in different functional grasps. The management of upper limb in cerebral palsy is a challenge, but in properly selected patients there is some improvement in functional status.