Koman L Andrew, Sarlikiotis Thomas, Smith Beth P
Department of Orthopedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Orthop Clin North Am. 2010 Oct;41(4):519-29. doi: 10.1016/j.ocl.2010.06.003.
Functional activities of the upper extremity are limited in most individuals with a diagnosis of cerebral palsy (CP). However, surgical interventions are applied in less than 20% of pediatric patients with an upper extremity affected by CP. This article covers the surgical interventions used for the reconstruction of the upper limb in patients with CP. The optimal surgical approach for each deformity type is described. In addition, the various evaluation techniques of the upper extremity, the general principles of an operative treatment plan, and the appropriate postoperative care of these patients is presented.
大多数被诊断患有脑瘫（CP）的个体上肢功能活动受限。然而，在患有上肢脑瘫的儿科患者中，接受手术干预的不到20%。本文涵盖了用于脑瘫患者上肢重建的手术干预方法。描述了针对每种畸形类型的最佳手术方法。此外，还介绍了上肢的各种评估技术、手术治疗计划的一般原则以及这些患者适当的术后护理。
