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Journal of Hand Surgery (British and European Volume)
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Early Corrective Surgery of the Wrist and Elbow in Arthrogryposis Multiplex Congenita

U. MENNEN

From the Department of Hand and Microsurgery, Medunsa, South Africa

Correspondence: Professor U. Mennen, Head: Department of Hand and Microsurgery, P O Box 186, Medunsa, 0204, Republic of South Africa

An early one-stage corrective surgical procedure for the elbow and wrist of patients suffering from arthrogryposis multiplex congenita is advocated. The procedure involves adequate proximal row carpectomy, tendon transfers to achieve a balanced wrist and a triceps to radius transfer for elbow flexion.

Experience with 47 limbs showed that the best results were obtained in children operated on between 3 and 6 months of age.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 3, 304-307 (1993)
DOI: 10.1016/0266-7681(93)90046-I
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A. Van Heest, M. A. James, A. Lewica, and K. A. Anderson
Posterior Elbow Capsulotomy with Triceps Lengthening for Treatment of Elbow Extension Contracture in Children with Arthrogryposis
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