scholarly journals DIAGNOSTICS AND TREATMENT OF SPASTIC HAND IN CHILDREN WITH INFANTILE CEREBRAL PARALYSIS: THE REVIEW PART II: CONSERVATIVE AND SURGICAL TREATMENT OF THE UPPER LIMB

2011 ◽  
Vol 17 (3) ◽  
pp. 137-145
Author(s):  
V. V. Umnov ◽  
V. A. Novikov ◽  
A. V. Zvozil
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Upper Limb ◽  
Domestic Literature ◽  
Results Of Treatment ◽  
Infantile Cerebral Paralysis ◽  
Cerebral Paralysis ◽  
Analysis Of Results ◽  
Conservative And Surgical Treatment

In article authors describe the isolated data of the foreign and domestic literature concerning a problem of conservative and surgical treatment of the upper limb extremity at patients with cerebral palsy. In the publication the features of various techniques gained the greatest distribution and actively applied now are considered. Besides, the analysis of results of treatment is carried out and problems up to the end not solved are sounded till now.

Surgery of the Spastic Hand in Cerebral Palsy

1998 ◽  
Vol 23 (3) ◽  
pp. 334-339 ◽  
Author(s):  
L. B. DAHLIN ◽  
Y. KOMOTO-TUFVESSON ◽  
S. SÄLGEBACK
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Upper Limb ◽  
The Other ◽  
Surgical Reconstruction ◽  
Range Of Movement ◽  
Striking Finding ◽  
Hemiplegic Cerebral Palsy

Thirty-six patients with hemiplegic cerebral palsy had surgical treatment for the upper limb and were followed up for 18 months postoperatively. Various operations were done. A striking finding was a significant improvement of stereognosis (ability to describe and recognize objects without vision). Most patients had improvement in different functional grasps following surgical reconstruction. Range of movement in the forearm and wrist also increased in most patients. The thumb-in-palm deformity was completely corrected in 31 of the patients and improved in the other five. Most patients had some or all of their expectations of the procedure fulfilled.

HLA complex antigens at infantile cerebral paralysis in Kazan population

2002 ◽  
Vol XXXIV (3-4) ◽  
pp. 21-23
Author(s):  
D. D. Gainetdinova ◽  
M. F. Ismagilov ◽  
I. A. Pakhalina
Keyword(s):  
Cerebral Palsy ◽  
Disease Association ◽  
Hla Typing ◽  
Control Group ◽  
Infantile Cerebral Palsy ◽  
Risk Criteria ◽  
Infantile Cerebral Paralysis ◽  
Study Results ◽  
Cerebral Paralysis ◽  
First Time

A complex clinico-instrumental and immunogenetic study has been performed in 34 patients with different forms of infantile cerebral palsy in Kazan population. HLA-typing has revealed a reliable disease association with antigen B13. The control group was made up of 115 healthy patients. For the first time a comparable risk criteria has been counted: if a patient has B13 antigen risk of infantile cerebral paralysis development increases by 3.55 times. Contribution of HLA-B13 associated gene into genesis of the disease makes up not less than 11,6%. The study results testify to heridatary mechanisms envolvement into etiopathogenesis of infantile cerebral paralysis and demand further study of genetic peculiarities of susceptibility genome to different harmful factors.

scholarly journals Preliminary results of surgical treatment of flexion-adduction contracture of the first ray of the hand in combination with dislocation in the metacarpophalangeal joint in patients with infantile cerebral palsy

2021 ◽  
Vol 8 (4) ◽  
pp. 417-426
Author(s):  
Dmitry V. Umnov ◽  
Valery V. Umnov ◽  
Vladimir A. Novikov ◽  
Margarita V. Savina
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Upper Limb ◽  
Metacarpophalangeal Joint ◽  
Infantile Cerebral Palsy ◽  
Positive Effects ◽  
Surgical Methods ◽  
First Ray ◽  
Temporary Arthrodesis ◽  
Intermetacarpal Space

Background. Surgical methods of treating flexionadduction contracture of the first ray of the hand in combination with dislocation in the metacarpophalangeal joint in patients with infantile cerebral palsy are divided into surgical interventions on soft tissues and bone surgeries aimed at stabilizing the metacarpophalangeal joint. We have developed a technique of temporary arthrodesis of the metacarpophalangeal joint in combination with the previously used operation to widen the first intercarpal space, combining the positive effects of both groups of operations: stability of arthrodesis with an installed metal structure that enable active movements in the joint in sufficient amplitude after its removal and early postoperative rehabilitation with a stabilized joint. Aim. This study aimed to evaluate the effectiveness of a new method of surgical correction of flexionadduction contracture of the first ray of the hand in combination with metacarpophalangeal joint dislocation in the form of temporary arthrodesis of this joint and widening of the intermetacarpal space in patients with cerebral palsy. Materials and methods. The study analyzed treatment outcomes of patients (n = 11) who underwent temporary arthrodesis of the metacarpophalangeal joint with an extra-bone plate for a period of 1 year and expansion of the first intermetacarpal space. Comparative analysis of the results was carried out 6 months after the operation, 1 year after the operation, and after hardware removal. The amplitude of passive and active movements in the metacarpophalangeal joint was analyzed. The functionality of the upper limb was assessed according to the international classification system MACS 2002 and the block and box test. Results. At 1 year after surgery and removal of the fixation structure, the amplitude of both passive abduction (32.0) and extension (9.5) in the metacarpophalangeal joint increased, and the amplitude of the same movements (leads) increased by 25.5 in abduction and by 4.0 in extension when performed actively. The MACS indicator improved by 1 point. The average dynamics of the block and box test was seven additional cubes. Conclusion. The proposed technique for temporary extra-articular arthrodesis of the metacarpophalangeal joint does not affect the intra-articular structures, unlike intra-articular arthrodesis, and therefore has clear advantages over the latter. This surgical treatment method is effective in increasing the amplitude of active and passive movements of the first ray of the hand and reduces muscle imbalance, which ultimately improves the function of the upper limb as a whole.

scholarly journals Approach to the surgical treatment of acute paraproctitis on the background of diabetes mellitus

2019 ◽  
Vol 41 part 3 (2) ◽  
pp. 4-6
Author(s):  
M. M. Militsa ◽  
M. D. Postolenko ◽  
K. M. Militsa ◽  
I. M. Angelovskiy ◽  
V. V. Soldusova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Surgical Treatment ◽  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Internal Opening ◽  
Results Of Treatment ◽  
Mode Of Operation ◽  
Patients With Diabetes ◽  
Analysis Of Results ◽  
Complex Cases

Purpose of the study. Was to reveal the peculiarities of surgical treatment of acute paraproctitis in patients with diabetes mellitus. Materials and methods. The analysis of results of treatment in 1591 patients for the last 8 years is carried out. In 90 (6,8%) patients, the process proceeded against the background of diabetes mellitus. Results. The criteria for choosing the mode of operation are based on the location of the abscess and the main purulent course, its relation to the elements of the external anal sphincter, the nature of the cicatricle process in the zone of the internal opening and the function of the rectum apparatus. Conclusion. In complex cases, surgical treatment should be two-stage and organ-preserving. To the possibility and timing of the removal of the inner hole should be approached individually. Keywords: acute paraproctitis, diabetes mellitus, surgical treatment.

scholarly journals ROBOTIC MECHANOTHERAPY IN REHABILITATION OF CHILDREN WITH CEREBRAL PALSY AFTER COMBINED ORTHOPEDIC SURGERY

2013 ◽  
Vol 1 (1) ◽  
pp. 44-47
Author(s):  
Galina Alexandrovna Ikoeva ◽  
Olga Ivanovna Kivoenko
Keyword(s):  
Exercise Therapy ◽  
Orthopedic Surgery ◽  
Motor Rehabilitation ◽  
Infantile Cerebral Paralysis ◽  
Children With Cerebral Palsy ◽  
Early Use ◽  
Cerebral Paralysis ◽  
Neurosurgical Treatment ◽  
Analysis Of Results ◽  
Set Up

The article represents a clinical research of 20 patients with infantile cerebral paralysis, who had got an early motor rehabilitation after complex orthopedic and neurosurgical treatment. The comparative analysis of results after traditional exercise therapy and mechanotherapy was carried out with the use of robotic system “Lokomat”. It was set up that early use of robotized mechanotherapy during postoperative period reduces significantly the time of motor rehabilitation in comparison with traditional exercise therapy.

scholarly journals Analysis of the Existing Treatment Methods of Musculoskeletal Disorders in Adult Patients with Mucopolysaccharidosis (Literature Review)

2020 ◽  
Vol 99 (5) ◽  
pp. 101-106
Author(s):  
M.A. Eremushkin ◽  
D.I. Otvetchikova ◽  
I.N. Otvetchikov ◽  
V.A. Kolyshenkov
Keyword(s):  
Surgical Treatment ◽  
Metabolic Disorders ◽  
Comprehensive Approach ◽  
Adult Patients ◽  
Results Of Treatment ◽  
Different Types ◽  
Number Of Publications ◽  
Conservative And Surgical Treatment ◽  
Methods Of Treatment

Need for optimal treatment approaches for adult patients with mucopolysaccharidosis is an urgent problem today. This happened dueto the fact that previously patients with MS rarely lived to adulthood and were observed mainly by pediatricians. But with the evolution of medical technologies and the emergence of modern methods of treatment and rehabilitation of such patients, the number of adult patients with MS is increasing. Clinicians have more and more questions in choosing a strategy for managing each specific clinical case. Currently, a comprehensive approach to treatment allows for the use of a multidisciplinary team to pay due attention to concomitant diseases that occur in patients with impaired GAG metabolism. Due to the rarity of this disease in the modern literature, there are as mall number of publications that cover only certain aspects of the disease, but there are no works devoted to a comprehensive approach to the treatment and rehabilitation of such patients. The analysis of literature data on diagnostics, methods of examination,options for conservative and surgical treatment depending on the type of detected pathology and functional needs of a patient with different types of MS is carried out. Recommendations for testing and evaluating functional status are described, and the most common options for conservative and surgical treatment that take into account specific problems that reduce the patient’s quality of life are presented. It is necessary to study the problem of MPs in adult patients in more detail, as well as to coordinate specialists who have experience in managing patients with metabolic disorders, in order to improve the results of treatment and rehabilitation of patients with this pathology.

Sign in / Sign up

Export Citation Format

Share Document