The use of lively splints in upper limb paralysis.

نویسندگان

  • N SMYTHE
  • C B W PARRY
چکیده

of tendon transplants and joint stabilisation, has given remarkable results in the restoration of a functional arm (Barr 1949, Seddon 1952). There is, nevertheless, a growing tendency to use lively splints in certain types of paralysis. Capener (1946, 1949) has described a wide range of such splints for hand, wrist and elbow weakness, and there have been many reports in the literature describing new and improved lively splints (Highet 1942, Bunnell 1949, Stewart 1948, Irwin and Eyler 1951, Nangle 1951, Gazeley and Dunham 1952). There are three main indications for the use of splints in upper limb paralysis. First, to prevent deformity, as for example in the maintenance of the limb in the position of function during the acute stage of poliomyelitis and the splinting of peripheral nerve injuries during the stage of regeneration. Second, to correct deformity-an example of this type is the use of stretch splints for tendon and muscle contracture. Third, to replace and encourage function that is permanently lost, or while recovery is proceeding. \‘Iost of the splints described in the literature are designed primarily to prevent or correct deformity. Insufficient attention has been paid, in our opinion, to the design and development of lively splints to encourage function during the recovery stage or as a permenent replacement for lost muscle power. This paper attempts to state the indications for their consideration in place of reconstructive surgery. The splints that have been found useful at this Centre are illustrated and described in detail.

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عنوان ژورنال:
  • The Journal of bone and joint surgery. British volume

دوره 37-B 4  شماره 

صفحات  -

تاریخ انتشار 1955