Víkelety T, Mészáros T
Magy Traumatol Orthop Helyreallito Seb. 1977;20(3):195-210.
The authors performed 958 operations on spastic patients. Based on this clinical material, they introduce the possibilities and principles of operative treatment. Position of joints in the lower limb, their synergism and compensatory changes in a closed kinetic chain are analysed in the article. These factors must be attended to carefully if one should decide the site and variety of operation to be performed. The authors suggest that patients should be operated on early, in certain cases even preventive operation is necessary. Results are better if children who already can stand and walk are operated on, but in many cases operation itself is needed to enable them to these activities. Results were good in 83,2%, no changes in 3,4%, worse in 4,2 out of the 716 operations evaluated. Operative treatment along with conductive pedagogy and other methods of physiotherapy help these patients to be able to take care of themselves and to become useful members of society.
作者对痉挛患者进行了958例手术。基于这一临床资料，他们介绍了手术治疗的可能性和原则。文章分析了下肢关节的位置、它们在闭链动力学中的协同作用和代偿性变化。如果要决定手术的部位和类型，必须仔细考虑这些因素。作者建议患者应尽早接受手术，在某些情况下甚至有必要进行预防性手术。如果对已经能够站立和行走的儿童进行手术，效果会更好，但在许多情况下，需要通过手术才能使他们进行这些活动。在评估的716例手术中，83.2%效果良好，3.4%无变化，4.2%效果较差。手术治疗与引导式教育及其他物理治疗方法相结合，有助于这些患者能够自理并成为对社会有用的成员。
