Hand Center, Texas Scottish Rite Hospital for Children, Dallas, TX, USA.
J Am Acad Orthop Surg. 2010 Mar;18(3):160-8. doi: 10.5435/00124635-201003000-00005.
Pediatric patients with cerebral palsy present unique challenges. Any treatment regimen must take into account potential growth, possible sequelae of surgery, and, in some cases, significant behavioral issues. Careful evaluation of motor and sensory function of the extremity and of use patterns is imperative because these findings play a critical role in determining the ultimate success of any intervention. Every patient is addressed independently and treatment individualized. The patient and parents must understand that surgery can address only the function or position of the anatomic area. Surgery will not correct the underlying problem.
脑瘫儿童患者具有独特的挑战。任何治疗方案都必须考虑到潜在的生长发育情况、手术可能产生的后遗症，以及在某些情况下，严重的行为问题。对肢体的运动和感觉功能以及使用模式进行仔细评估至关重要，因为这些发现对于确定任何干预措施的最终成功都具有关键作用。每位患者都需要单独处理，治疗方案需要个体化。患者和家长必须了解，手术只能解决解剖区域的功能或位置问题，无法纠正根本问题。
