We report clinical and radiographic outcomes
of wrist fusion achieved with pin or plate fixation in 14
patients with severe quadriplegic cerebral palsy (CP) (19
wrists). Average patient age at the time of surgery was
16.8 ± 1.7 years (14–20 years). Mean follow-up time for
the 14 patients was 5.9 ± 3.1 years (range, 1–11 years).
Indication for surgery was severe wrist deformity that
interfered with hygienic care. Few complications occurred,
and outcomes were satisfactory. Statistically significant
mean difference was shown between the pre- and postoperative
radiographic angles (37, P = 0.001, and 24,
P = 0.04, for lateral and anteroposterior views, respectively).
Caregivers reported that appearance was the most
perceived rationale for surgery (63 %). Improved hygienic
care was the primary perceived benefit. The majority
(88 %) were satisfied with the results. We recommend
wrist fusion to improve hygienic care, positioning, and
appearance of the wrist, hand, and fingers in patients with
severe quadriplegic CP. |
