Seringe R, Dubousset J F
Rev Chir Orthop Reparatrice Appar Mot. 1977 Oct-Nov;63(7):687-99.
Nineteen cases of paralytic supination contracture have been surgically treated in children and teenagers. Three successive stages are described - 1) reducible deformity 2) contractures of soft tissues and 3) skeletal deformities. Surgical treatment aimed to improve the patient cosmetically and functionally. Ideally, the condition should be corrected early, during the first stage. The results of the Zancolli procedure of section of the interosseous membrane and rerouteing of the biceps in 11 cases were all satisfactory. Osteotomy of one or both bones could be used in association in cases with fixed deformity.
19例儿童和青少年麻痹性旋后挛缩症患者接受了手术治疗。描述了三个连续阶段——1）可复位畸形；2）软组织挛缩；3）骨骼畸形。手术治疗旨在改善患者的外观和功能。理想情况下，应在第一阶段尽早矫正病情。11例患者采用Zancolli手术，即切开骨间膜并重新调整肱二头肌走行，结果均令人满意。对于固定畸形的病例，可联合使用单骨或双骨截骨术。
