Poul J, Pesl M, Pokorná M
Klinika dĕtské chirurgie, ortopedie a traumatologie, Dĕtská nemocnice, FN Brno.
Acta Chir Orthop Traumatol Cech. 2003;70(5):292-5.
To assess the short-term results of percutaneous aponeurotomy of gastrocnemius including the possible complications and effects of the treatment.
Totally 88 procedures were performed in 61 patients in the period 1998-2001. Re-examination in 2002 involved 44 patients with 66 procedures.
The procedure was done from one-point incision. Six weeks immobilisation followed. Re-examination concerned the shape of the calf, the testing for palpable defect, US examination of calf muscles and aponeurosis, neurological and vascular examination.
Recurrence of mild degree of equinus deformity was found in 3 out from 66 procedures. No neurological or vascular complications were registered.
Rate of recurrence in this study is comparable with the figures after open aponeurotomy.
Operation is reserved for skilled surgeon, however in short future, most of operations on spastics will be done like video-assisted procedures.
评估腓肠肌经皮腱膜切开术的短期效果，包括可能的并发症及治疗效果。
1998年至2001年期间，61例患者共进行了88次手术。2002年复查时，44例患者进行了66次手术。
手术从单点切口进行。术后六周固定。复查内容包括小腿形状、触诊缺损检查、小腿肌肉和腱膜的超声检查、神经和血管检查。
66次手术中有3次出现轻度马蹄足畸形复发。未记录到神经或血管并发症。
本研究中的复发率与开放性腱膜切开术后的数据相当。
该手术应由熟练的外科医生进行，不过在不久的将来，大多数痉挛性疾病的手术将像视频辅助手术那样进行。
