Nylander G, Carlström C, Adolfsson L
Department of Plastic Surgery, Hand Surgery and Burns, University Hospital, Linköping, Sweden.
J Hand Surg Br. 1999 Dec;24(6):719-23. doi: 10.1054/jhsb.1999.0265.
Reconstructive surgery was carried out on 27 upper extremities in 24 children with deformities due to spastic cerebral palsy. Functional evaluation of the affected extremities was made preoperatively, at 6 months and at a mean of 4.5 years postoperatively using a score added to the assessment system described by the Committee on Spastic Hand Evaluation. According to the score, dysfunction of the arm was significantly reduced 6 months after the reconstructive surgery and the improvements remained essentially unchanged at the later follow-up. The addition of a score to the original assessment system facilitated the overall assessment of postoperative results.
对24例患有痉挛性脑瘫所致畸形的儿童的27条上肢进行了重建手术。术前、术后6个月以及术后平均4.5年时，使用痉挛性手部评估委员会描述的评估系统中增加的评分对患侧肢体进行功能评估。根据评分结果，重建手术后6个月，手臂功能障碍显著减轻，且在后期随访中改善情况基本保持不变。在原评估系统中增加评分有助于对术后结果进行全面评估。
