Palmer P M, MacEwen G D, Bowen J R, Mathews P A
Clin Orthop Relat Res. 1985 Apr(194):54-9.
A comprehensive program for treatment of arthrogryposis multiplex congenita has been developed based on experiences with 95 infants and young children with arthrogrypotic deformities. The regimen emphasizes early passive stretching and serial splinting to improve joint motion. Ninety percent of the patients had contractures of all extremities; 40% had multiple congenital anomalies. Daily intensive passive stretching of joints and serial splinting have substantially increased patient function in this population. Surgical procedures have been used only in cases in which persistent deformities require correction.
基于对95例患有先天性多发性关节挛缩症畸形的婴幼儿的治疗经验，已制定了一套综合性治疗方案。该方案强调早期被动拉伸和连续夹板固定以改善关节活动。90%的患者四肢均有挛缩；40%有多种先天性异常。对该群体患者进行每日强化关节被动拉伸和连续夹板固定已显著提高了其功能。仅在持续性畸形需要矫正的病例中才使用外科手术。
