A study of effectiveness of tendon transfers in upper extremity in the management of spastic hemiplegia

Over the years, most often surgical management of cerebral palsy (CP) has focused only on lower extremities wherein surgeries are performed regularly for sitting, standing and ambulation. Upper extremity surgery is uncommonly done to improve functions hand. To study effectiveness tendon transfers in upper spastic hemiplegia This was a prospective study, which included 24 patients with hemiplegia, either sex between ages 5 25 years. All were admitted evaluated detail. Pre-operative functional assessment limb according House et al classification recorded. IQ evaluation all done. subjected three procedures. Majority (33.33%) belonged 16–20 years 66.67% Females. 15 (62.5%) having Rt. Sided involvement 20 (83.33%) Normal (>70). The pre-operative score significantly improved from 1.42 4.54 after surgery. No one excellent improvement but 25% had good while 58.3% fair improvement. 16.7% poor Out four cases Mild MR, majority, 3 (75%), showed Poor observed scores. IQ, 13 (65%), Fair appearance hand (100%) making very important psychological goal even severe