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The Steindler flexorplasty for the arthrogrypotic elbow
Charles A Goldfarb1, Michelle S Burke, William B Strecker
1Shriners Hospital for Children, St Louis, MO, USA.
The Journal of Hand Surgery
|May 14, 2004
Summary
Steindler flexorplasty surgery significantly improved active elbow flexion in children with arthrogryposis, enhancing their daily function and independence. Most patients reported high satisfaction with the functional gains achieved.
Area of Science:
- Orthopedic surgery
- Pediatric rehabilitation
- Congenital conditions
Background:
- Arthrogrypotic elbow often presents with limited active flexion, impacting patient independence.
- Muscle transfer procedures, like Steindler flexorplasty, aim to restore elbow flexion and improve function.
Purpose of the Study:
- To review the outcomes of Steindler flexorplasty in children with arthrogryposis.
- To assess the effectiveness of the procedure in restoring active elbow flexion and improving patient function.
Main Methods:
- Seventeen elbows in 10 pediatric patients (average age 7 years) underwent Steindler flexorplasty.
- Pre- and post-operative assessments included range of motion, flexion strength, functional outcome, and patient satisfaction at an average of 5 years follow-up.
Main Results:
- All patients achieved active elbow flexion against gravity (average 85 degrees) and could lift an average of 1 kg.
- Minor loss of elbow extension (average 27 degrees) and forearm rotation occurred, with no loss of wrist or finger motion.
- Nine out of ten patients reported satisfaction and would recommend the surgery.
Conclusions:
- Steindler flexorplasty is an effective procedure for improving elbow flexion strength and function in children with arthrogryposis.
- The surgery enhances patient independence and should be considered for this population.