Samilson R L
Clin Orthop Relat Res. 1981 Jul-Aug(158):99-107.
In cerebral palsy, principles involved in proper selection of orthopedic management of the lower limbs include diagnosis, timing, goals, degree of involvement, linkage, kinetic electromyography, retention of neonatal automatisms, and dynamic versus fixed deformity, as well as the physical plant and professional skills. Specific lower extremity problems in the hip, knee, ankle, and foot must be analyzed and management for each should be approached on a rational basis. Unsolved enigmatic problems of etiology, pathways of neonatal automatisms that impose abnormal posturing, neurophysiologic mechanisms of spasticity, athetosis, rigidity and ataxia, pathogenesis of contracture, linkage biomechanics, and the neurologic, including the biomechanical effects of surgical intervention, require special research programs.
在脑瘫中，下肢矫形治疗正确选择所涉及的原则包括诊断、时机、目标、受累程度、关联、动态肌电图、新生儿自动运动的保留、动态与固定畸形，以及医疗设施和专业技能。必须对髋、膝、踝和足部的特定下肢问题进行分析，并且应以合理的方式对每个问题进行处理。病因学方面尚未解决的神秘问题、导致异常姿势的新生儿自动运动途径、痉挛、手足徐动症、僵硬和共济失调的神经生理机制、挛缩的发病机制、关联生物力学，以及神经学问题，包括手术干预的生物力学效应，都需要特殊的研究项目。
