Szabo R M, Gelberman R H
Hand Clin. 1985 Aug;1(3):525-43.
Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute our failures to the patient and resort to such statements as, "tendon transfer in cerebral palsy is unpredictable." Instead, we should feel confident that although a normal extremity will never result after operative treatment, contractures and spasticity can be diminished in such a way to make possible certain coordinated actions that will help our patients in their activities of daily living.
虽然脑瘫患者的畸形总体模式可能具有重复性，但必须认识到，没有什么能替代对个体患者的仔细检查和个性化的治疗方案。我们的失误很少是由技术错误导致的，我们不应将失败归咎于患者，并说出诸如“脑瘫患者的肌腱转移是不可预测的”这样的话。相反，我们应该有信心，尽管手术治疗后无法使肢体恢复正常，但可以通过某种方式减轻挛缩和痉挛，从而使某些协调动作成为可能，这将有助于我们的患者进行日常生活活动。
