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脑性瘫痪步态改善手术后髋关节旋转的评估

Assessment of hip rotation after gait improvement surgery in cerebral palsy.

作者信息

Steinwender G, Saraph V, Zwick E B, Uitz C, Linhart W

机构信息

Department of Paediatric Orthopaedics, Karl Franzens University, Graz, Austria.

出版信息

Acta Orthop Belg. 2000 Jun;66(3):259-64.

PMID:11033916
Abstract

Sixteen children with diplegic type of cerebral palsy and spastic internal rotation gait were evaluated using gait analysis before and an average of 3 years after multiple soft tissue surgery. Significant correction of the internal rotation gait was observed after multi-level soft tissue surgery which included medial hamstring lengthening in all cases. Our results suggest that for children with spastic internal rotation gait, multi-level soft tissue surgery effectively corrects the dynamic internal rotation gait in the absence of fixed bony rotational deformities.

摘要

对16名患有双侧瘫型脑瘫且存在痉挛性内旋步态的儿童,在进行多次软组织手术前及平均术后3年进行了步态分析评估。在包括所有病例均进行了腘绳肌内侧延长术的多级软组织手术后,观察到内旋步态得到了显著改善。我们的结果表明,对于患有痉挛性内旋步态的儿童,在不存在固定性骨旋转畸形的情况下,多级软组织手术能有效纠正动态内旋步态。

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引用本文的文献

1
Effects of soft tissue surgery on transverse kinematics in patients with cerebral palsy.软组织手术对脑瘫患者横向运动学的影响。
BMC Musculoskelet Disord. 2019 Nov 27;20(1):566. doi: 10.1186/s12891-019-2955-8.
2
A Systematic Review of the Effects of Single-Event Multilevel Surgery on Gait Parameters in Children with Spastic Cerebral Palsy.单事件多节段手术对痉挛型脑瘫患儿步态参数影响的系统评价
PLoS One. 2016 Oct 18;11(10):e0164686. doi: 10.1371/journal.pone.0164686. eCollection 2016.
3
Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis.
软组织手术对痉挛性双侧瘫患者骨盆和髋关节旋转的影响:一项荟萃分析。
Clin Orthop Surg. 2016 Jun;8(2):187-93. doi: 10.4055/cios.2016.8.2.187. Epub 2016 May 10.
4
Coronal plane knee moments improve after correcting external tibial torsion in patients with cerebral palsy.纠正脑瘫患者胫骨外旋后,冠状面膝关节力矩改善。
Clin Orthop Relat Res. 2012 May;470(5):1327-33. doi: 10.1007/s11999-011-2219-x.
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Changes in lower limb rotation after soft tissue surgery in spastic diplegia.痉挛性双瘫软组织手术后下肢旋转的变化。
Acta Orthop. 2010 Apr;81(2):245-9. doi: 10.3109/17453671003587135.