Surgical management of elbow flexion contracture in spasticity - A technical guide.

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Abstract

16. Orthopade. 2004 Oct;33(10):1173-82. doi: 10.1007/s00132-004-0685-5. [Orthotics and cerebral palsy. Established treatments and trends in orthopaedic devices for patients with cerebral palsy]. [Article in German] Fuchs A(1), Döderlein L. Author information: (1)Abteilung Orthopädie und Rehabilitation, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany. The surgical and pharmacological treatment of cerebral palsy patients is, in many cases, complemented by orthopaedic appliances. New knowledge and materials have expanded the possibilities for orthotic treatment in the last years, but have also led to confusion on the correct technology to use in different cases. This paper presents an overview of the current orthotic methods in cerebral palsy patients. Initially, we present the different ideas and show the limitations of the treatment. Next, we consider the problem of spastic hip dislocation and the possibilities of positioning the patients. Beds and splints cut from foam allow safe positioning of severely disabled patients without the risk of pressure sores. This appliance may prevent spastic hip dislocation in the long-term. Results of a patient questionnaire are presented. The third section deals with experiences with full contact braces and differences in their construction compared to conventional corsets. Our own results from a patient questionnaire and clinical cases will be presented. The use of a full contact brace may have a positive influence on the development of the spastic scoliosis. DOI: 10.1007/s00132-004-0685-5