Upper Limb Reconstruction in Arthrogryposis Multiplex Congenita: A Systematic Review.
J Terrence Jose Jerome, G Surendran, K Thirumagal
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In 30 seconds
This systematic review evaluated surgical and nonsurgical strategies for upper limb reconstruction in 412 patients with arthrogryposis multiplex congenita. The review synthesized data from 32 studies and found that posterior elbow release significantly improved passive elbow flexion and functional hand-to-mouth reach, highlighting the importance of individualized treatment approaches.
Key findings
- Posterior elbow release improved passive elbow flexion and functional hand-to-mouth reach.
- Muscle transfer procedures restored active elbow flexion in selected patients with adequate passive motion.
- Distal humeral external rotation osteotomy enhanced hand orientation and bimanual grasp.
- Carpal wedge osteotomy corrected rigid wrist flexion deformity by recentering the wrist.
Why it matters
Understanding effective reconstruction strategies for upper limb function in arthrogryposis multiplex congenita can guide clinicians in developing tailored treatment plans, ultimately enhancing patients' functional independence and quality of life.
What to keep in mind
The evidence is limited by retrospective designs and heterogeneous outcome reporting across studies.