Bonnet I, Burgot D, Bonnard C, Glorion B
Unité d'Orthopédie Pédiatrique, Centre de pédiatrie G. de Clocheville, Tours.
Rev Chir Orthop Reparatrice Appar Mot. 1991;77(3):189-97.
Seventy-one children had surgical procedures on hips and/or knees and/or feet contractures before or after the age of loosing gait. Gait has been continued on 1 year and 7 months to 3 years and 8 months according to the evolving type of Duchenne Muscular Dystrophy (DMD). After analysis of results of the surgery upon contractures, surgical procedures have been determined for each joint. Before loosing gait, but when contractures were all present, surgery prolonged on gait without orthosis and relieved of physiotherapy. During the 6 months after loosing gait, surgery allowed to recover same walking ability more often with orthesis. After loosing gait, surgery gave a better comfort of life to the child and his family.
71名儿童在出现步态丧失之前或之后接受了髋关节、膝关节和/或足部挛缩的外科手术。根据杜氏肌营养不良症(DMD)的发展类型,步态持续了1年7个月至3年8个月。在分析了挛缩手术的结果后,确定了每个关节的手术程序。在步态丧失之前,但挛缩全部出现时,手术延长了无矫形器的步态并减轻了物理治疗。在步态丧失后的6个月内,手术使患儿更常借助矫形器恢复相同的行走能力。步态丧失后,手术给患儿及其家庭带来了更好的生活舒适度。