Pouliquen J C, Lacert P, Durand Y, Verneret C, Picard A, Parmain C
Service de Chirurgie Orthopédique Infantile, Hôpital Raymond Poincare, Garches.
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(5):430-7.
The records of 36 children who had been treated surgically for spastic knee flexion deformity were studied. The procedures were either a modified Eggers' operation, a lowering of the patella or a combination of both. Thirty-three children were reviewed at a distance and a comparison made between their initial and final function. The results were also assessed in relation to the state of the muscles and the length of follow-up. Many patients were improved but this improvement could not reasonably be expected except in those who could walk or in whom walking had been abandoned for a short time. The indications for the type of procedure should follow systematic examination by a medical and surgical team, taking account of the strength of the gluteus maximus and the quadriceps and the response to novocaine infiltration of the sciatic nerve.
对36例因痉挛性膝关节屈曲畸形接受手术治疗的儿童病例记录进行了研究。手术方式为改良艾格斯手术、髌骨下移或两者结合。对33例儿童进行了远期复查，并比较了他们最初和最后的功能情况。还根据肌肉状态和随访时间对结果进行了评估。许多患者有所改善，但这种改善只有在那些能够行走或短时间放弃行走的患者中才是合理预期的。手术类型的指征应在医学和外科团队进行系统检查后确定，同时要考虑到臀大肌和股四头肌的力量以及坐骨神经对奴夫卡因浸润的反应。
