Williams P
Orthop Clin North Am. 1978 Jan;9(1):67-88.
Arthrogryposis has an evil reputation among orthopedic surgeons, for the deformities are known to be resistant to correction and relapse during growth is common. It is suggested that many of these difficulties have been due to a delay in initiating treatment, to the use of unsuitable methods such as manipulation, and to a lack of appreciation of the pathologic changes. The author's experience with a large number of personally treated cases has convinced him that aggressive surgical treatment in infancy and early childhood is more successful than previously accepted methods of care (Figs. 22, 23).
先天性多发性关节挛缩症在整形外科医生中名声不佳，因为已知其畸形难以矫正，且在生长过程中复发很常见。有人认为，这些困难很多是由于治疗开始延迟、使用了如手法操作等不合适的方法以及对病理变化认识不足所致。作者对大量亲自治疗病例的经验使他确信，在婴儿期和幼儿期进行积极的手术治疗比以前公认的护理方法更成功（图22、23）。
