Dunn N
Proc R Soc Med. 1928 Dec;22(2):243-58. doi: 10.1177/003591572802200266.
(1) The most important periods in the treatment of muscles weakened as a result of infantile paralysis are the acute illness, and if necessary a prolonged convalescence. (2) Division of tendons or muscles is seldom necessary for correction of deformity. (3) Successful transference of muscle power to a new insertion, given a good surgical technique, is dependent mainly on recognition of the group action of muscles. (4) Tendon transplantation should always be helpful, but will seldom by itself produce spectacular success in the restoration of function in infantile paralysis.
(1) 小儿麻痹后遗症导致肌肉无力,治疗的关键时期是急性期,必要时还包括长期的恢复期。(2) 为矫正畸形,肌腱或肌肉的切断术很少有必要。(3) 只要手术技术良好,成功将肌肉力量转移至新附着点主要取决于对肌肉群作用的认识。(4) 肌腱移植通常会有所帮助,但在小儿麻痹后遗症的功能恢复中,其本身很少能带来显著成效。