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感染性(中枢神经系统)产后脑瘫患儿的骨科问题

Orthopaedic aspects of children with infectious (central nervous system) postnatal cerebral palsy.

作者信息

Loder R T

机构信息

Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.

出版信息

J Pediatr Orthop. 1992 Jul-Aug;12(4):527-33. doi: 10.1097/01241398-199207000-00022.

Abstract

Twenty-two children (15 girls, 7 boys) with postnatal infectious cerebral palsy were reviewed at an average age of 8 years. Orthopaedic deformities were noted in 82% of all children and involved the upper extremity (41%), spine (45%), hips (68%), knees (32%), and feet and ankles (55%). Both typical and atypical cerebral palsy deformities were noted, often severe. Surgical correction of deformities achieved 77% satisfactory results. Bony procedures did better than soft tissue procedures, especially around the hip.

摘要

对22名患有产后感染性脑瘫的儿童(15名女孩,7名男孩)进行了回顾性研究,他们的平均年龄为8岁。在所有儿童中,82%存在骨科畸形,累及上肢(41%)、脊柱(45%)、髋部(68%)、膝部(32%)以及足踝部(55%)。观察到典型和非典型的脑瘫畸形,且往往较为严重。畸形的手术矫正取得了77%的满意效果。骨性手术比软组织手术效果更好,尤其是在髋部周围。

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