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A-0399 Elbow Flexors Spasticity: Combined Muscle Lengthening and Hyperselective Neurectomy
Friday, June 15, 2018 · 8:13 a.m. · 05m 06s
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give a presentation uh good morning we present the results of a prospective study
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performed over five here speed you're the one sixteen consecutive plastic patient
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for patient affected by l. boss plus the c. t. and contractor we
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initially believed that the muscle tendon lengthening was the best surgical option
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but in the long run and we not is that some procedure showed the a resurgence of spots the city
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did it to recurrence in spite of a better arc of movement
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in this example we can see the pretty operatives montana's position
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of the available and the clinical signs in the movie
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yearly results where would we do improvement over spontaneous
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position and his appearance of space the city
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at eight months still good spontaneous position and range of movement uh but
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we not is this or train resurgence of suppose the c. t.
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the last checkup and show would it be easier worsening of the resting position and
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increase or suppose the city signs although the patient was satisfied we were not
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from two thousand twelve onward so we have been treating this kind of patient
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by the tendon lengthening associated we'd are very selective in order to me
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we were motivated by the latest uh not the multiple graphic
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user choose that ensure more predictable and reliable results
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you know they're not too nice any motor but i'm sure in ages
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and of most crooked dunno snow skiing season is quite long
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well the motor branches are colour coded the and then partially new rectum eyes
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the amount of no rectum you required is adapted to the
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pretty apparent thirty assessment usually it is to third
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this the lessening of the biceps and back alley so perform their respective really we'd z.
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and factional anthony why the regular the ad is is the touch and on proximity
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uh_huh patient assessment was recorded in a database application that was created and set
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up for this very purples we perform the metallurgical assessment of all patients
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muscular good honest manner was new recognised in all patients about one where
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we perform that you only h. as an over i don't know
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muscle lengthening important one two or three able for it serves
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first of all we note is that there is not any strength
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decrease all spots the city parameters are in rooms that
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despite the bow their improving gun artwork entered you're still
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indicate a minimal level of us past the city
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all movement parameters show a markedly improvement to and
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tendency to study lies at the best values
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the three patient affected by important real parity painted well finally pain free
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yeah average satisfaction among patients and caregivers proved to be very high
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to the best of our knowledge or this is the first time
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the association of tendon lengthening in ages and he started that
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in six cases there is again some suppose the city specific
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reflex appears in the last twenty degrees of passive extension
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but it doesn't interfere with the fashion and patient satisfaction
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we have never had the to perform the second operation of that six months it has been only for us all
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to compute the d. h.'s and is only effective on this past the component of the deformity
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in combination with muscle tendon must some lengthening it allows improvement of many
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parameters showing results that seem long lasting in most cases so it
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it can contribute to to the improvement of the tendon lengthening procedure not affecting muscle strain
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despite the follow up being not very long our results are encouraging
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a perspective comparison between anything along and the combine techniques
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is certainly needed to body data does ipod disease
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if i have time i show you one can clinical case deeply abilities
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you question or the patient affected by cerebral palsy surgical time
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and the possibility of results is
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oh
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okay possibility results with the system show improvement of
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social life active motion set care and walking
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thank you for your attention let me invite you will do then is less next year
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