Clinical review demonstrates improved function and hygiene following wrist surgery in pediatric neurological injury, highlighting the frequent need for adjunctive finger tendon procedures.
In selected patients, operations to balance the wrist improve function and health-related quality of life. Wrist arthrodesis can improve wrist position and facilitate hygiene. Surgery can optimize function for patients with grasp/release with their wrist in neutral prior to surgery. However, wrist procedures often require additional surgery to extrinsic finger flexors and extensors to optimize postoperative outcomes.
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Koman et al. (2014) studied this question.
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