Norlin R, Tkaczuk H
J Pediatr Orthop. 1985 Mar-Apr;5(2):208-11.
Traditional thinking regarding surgery for the spastic child has favored correction of joint deformities one at a time. This often necessitates several operations. In addition, deformities of unoperated joints may jeopardize operative results. Since 1975, we have surgically treated all the lower extremity deformities of each cerebral palsied child in one session. We have carried out single measure operations as well as multiple operative procedures in which bilateral corrective operations are performed on several joints. Of 114 children treated, 40 had multiple and 74 had single operative procedures. Treatment was successful, without need for further surgery, in 80% of the former group and in 61% of the latter. The advantages of one-session surgery are a reduction in the number of operations and, possibly, a reduced chance of reoperation and complications.
关于痉挛性儿童手术的传统观念倾向于一次矫正一个关节畸形。这通常需要进行多次手术。此外，未手术关节的畸形可能会危及手术效果。自1975年以来，我们对每个脑性瘫痪儿童的所有下肢畸形进行一次性手术治疗。我们既开展了单一措施手术，也进行了对多个关节进行双侧矫正手术的多步骤手术。在接受治疗的114名儿童中，40名进行了多步骤手术，74名进行了单一手术。前一组80%的患儿治疗成功，无需进一步手术，后一组的成功率为61%。一次性手术的优点是减少了手术次数，并且可能降低再次手术和出现并发症的几率。
