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Estudio de los resultados obtenidos con el trataA study of the results obtained with the surgical miento quirurgico de la mano en 22 pacientes (23 treatment of the hand in 22 patients (23 hands) suf­ manos) afectos de paralisis cerebral. En 16 manos fering from cerebral palsy. In 16 hands the flexor se trasplanto el cubital anterior a los tendones excarpi ulnaris was transplanted to the radial exten­ tensores radiales, y en 7 manos se realizo una arsor tendons, and in 7 hands, a wrist arthrodesis was trodesis de muneca. Se practico una aponeurotomia performed. An aponeurotomy of the epitroclear de la musculatura epitroclear en 8 manos ademas musculature was carried out on 8 hands as well as del trasplante de cubital anterior, y en 3 junto con the carpi ulnaris transplant, and in 3 together with la artrodesis. Un dato pronostico significativo fue the arthrodesis. A significant result was the active la extension activa de los dedos: el 84,6% de estas extension of the fingers: 84.6% of the hands bemanos ganaron funcion. Mejoraron la funcion tocame functional. There was an improvement in das las manos que previamente eran ya algo funfunction in all hands that were previously some­ cionales. Todas las manos mejoraron tambien su what functional. All the hands also improved their posicion y aspecto; aparte la estetica, la buena poposition and appearance; apart from the aesthetic sicion favorece la utilidad de la mano. En las arfactor, a good position enhances the use of the hand. trodesis se reseco la hilera proximal del carpo y la In the artrodeses, the carpal proximal row was dried, prominencia del hueso grande se introdujo en la and the prominence of the large bone was intro­ epifisis radial, consiguiendo con ello una mayor esduced into the radial epiphysis, which produced im­ tabilidad. proved stability.

Tratamiento de la muñeca inestable en la parálisis cerebral