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脑瘫患者腘绳肌远端延长术。步态分析评估。

Distal hamstring lengthening in cerebral palsy. An evaluation by gait analysis.

作者信息

Baumann J U, Ruetsch H, Schürmann K

出版信息

Int Orthop. 1980;3(4):305-9. doi: 10.1007/BF00266026.

DOI:10.1007/BF00266026
PMID:7399771
Abstract

Distal elongation of the hamstrings was performed for contracture due to neurogenic disorders in 66 patients. A follow-up study on 34 of the patients with cerebral palsy is reported here. The success of the operation was judged by functional evaluation including joint measurement and gait analysis. The advantages of this operation and the need for prolonged aftercare are discussed.

摘要

对66例因神经源性疾病导致挛缩的患者进行了腘绳肌远端延长术。本文报告了对34例脑瘫患者的随访研究。通过包括关节测量和步态分析在内的功能评估来判断手术的成功率。讨论了该手术的优点以及长期术后护理的必要性。

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1
Distal hamstring lengthening in cerebral palsy. An evaluation by gait analysis.脑瘫患者腘绳肌远端延长术。步态分析评估。
Int Orthop. 1980;3(4):305-9. doi: 10.1007/BF00266026.
2
Lengthening and transposition of the hamstrings in cerebral palsy. A long-term follow-up.
Acta Orthop Belg. 1984 Mar-Apr;50(2):198-205.
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[Proximal hamstring release for knee flexion contracture treatment in children with childhood cerebral palsy].[近端腘绳肌松解术治疗小儿脑性瘫痪膝关节屈曲挛缩]
Chir Narzadow Ruchu Ortop Pol. 1995;60(2):111-4.
5
Distal hamstring elongation in the management of spastic cerebral palsy.
J Pediatr Orthop. 1990 May-Jun;10(3):378-81. doi: 10.1097/01241398-199005000-00016.
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A long-term retrospective study of proximal hamstring release for hamstring contracture in cerebral palsy.一项关于脑瘫痉挛性腘绳肌近端松解术的长期回顾性研究。
J Pediatr Orthop. 1984 Aug;4(4):443-7. doi: 10.1097/01241398-198408000-00010.
7
[On the functional status of muscle after lengthening of its tendon in children with cerebral palsy].
Ortop Travmatol Protez. 1967 Jan;28(1):46-50.
8
[Spastic infantile cerebral paralysis. Surgery of the lower extremities].
Bol Med Hosp Infant Mex. 1985 Aug;42(8):481-7.
9
[The surgery of hamstring tendons for knee flexion contracture in cerebral palsy].
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Outcome of hamstring lengthening and distal rectus femoris transfer surgery.腘绳肌延长术和股直肌远端转移术的结果
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引用本文的文献

1
Comparison of Percutaneous Versus Open Hamstring Lengthening in Patients of Spastic Diplegic Cerebral Palsy - A Randomized Controlled Trial.痉挛性双侧瘫脑瘫患者经皮与开放腘绳肌延长术的比较——一项随机对照试验
J Orthop Case Rep. 2024 Nov;14(11):263-267. doi: 10.13107/jocr.2024.v14.i11.4988.
2
Long-term outcome of hamstring lengthening versus transfer and the role of biceps femoris lengthening in patients with spastic diplegia and dynamic knee flexion in gait.腘绳肌延长术与转移术的长期疗效以及股二头肌延长术在痉挛性双侧瘫伴步态中动态膝关节屈曲患者中的作用
J Child Orthop. 2022 Dec;16(6):429-441. doi: 10.1177/18632521221128593. Epub 2022 Oct 19.
3

本文引用的文献

1
[Kinetic-diagnostic analysis of gait disorders; myokinesiographic technique and results].
Z Orthop Ihre Grenzgeb. 1952;82(Suppl):1-199.
2
Transplantation of hamstring tendons to femoral condyles in order to improve hip extension and to decrease knee flexion in cerebral spastic paralysis.在大脑性痉挛性瘫痪中,将腘绳肌腱移植至股骨髁以改善髋关节伸展并减少膝关节屈曲。
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Bilateral proximal release of the hamstrings in cerebral palsy.
J Bone Joint Surg Br. 1968 May;50(2):274-7.
4
Management of arthrofibrosis in neuromuscular disorders: a review.
神经肌肉疾病性关节挛缩的治疗:综述。
BMC Musculoskelet Disord. 2022 Jul 29;23(1):725. doi: 10.1186/s12891-022-05677-z.
4
Percutaneous hamstring lengthening in cerebral palsy and the risk of neurovascular transection.脑性瘫痪患者的经皮跟腱延长术与神经血管横断风险。
J Ultrasound. 2022 Sep;25(3):529-533. doi: 10.1007/s40477-021-00620-9. Epub 2022 Jan 7.
5
Gait Characteristics in Youth With Transverse Myelitis.青少年横贯性脊髓炎的步态特征。
Top Spinal Cord Inj Rehabil. 2021 Fall;27(3):38-48. doi: 10.46292/sci20-00048. Epub 2021 Aug 13.
6
Aponeurotic release of semimembranosus: A technical note to increase correction gained with hamstring lengthening surgery in cerebral palsy.半膜肌腱膜切开术:增加脑瘫患者跟腱延长术矫正效果的技术说明。
Acta Orthop Traumatol Turc. 2021 Mar;55(2):177-180. doi: 10.5152/j.aott.2021.20184.
7
Recurrence of knee flexion contracture after surgical correction in children with cerebral palsy.脑瘫儿童手术后膝关节屈曲挛缩复发。
Int Orthop. 2021 Jun;45(6):1523-1530. doi: 10.1007/s00264-021-05035-z. Epub 2021 Apr 6.
8
Calf lengthening may improve knee recurvatum in specific children with spastic diplegic cerebral palsy.对于特定的痉挛性双侧瘫脑瘫患儿,小腿延长术可能会改善膝反张。
J Child Orthop. 2020 Aug 1;14(4):353-357. doi: 10.1302/1863-2548.14.200092.
9
Pre-operative hamstring length and velocity do not explain the reduced effectiveness of repeat hamstring lengthening in children with cerebral palsy and crouch gait.术前腘绳肌长度和速度并不能解释重复腘绳肌延长术对脑瘫蹲伏步态患儿疗效降低的原因。
Gait Posture. 2019 Feb;68:323-328. doi: 10.1016/j.gaitpost.2018.11.033. Epub 2018 Nov 28.
10
A spasticity model based on feedback from muscle force explains muscle activity during passive stretches and gait in children with cerebral palsy.基于肌肉力反馈的痉挛模型解释了脑瘫儿童在被动伸展和步态中的肌肉活动。
PLoS One. 2018 Dec 7;13(12):e0208811. doi: 10.1371/journal.pone.0208811. eCollection 2018.
[Surgery of the ischio-tibial muscles in cerebral palsy].
Ann Chir Infant. 1971 Sep-Oct;12(5):329-41.
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Measurement of gait movements from motion picture film.
J Bone Joint Surg Am. 1972 Jun;54(4):787-97.
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A method of gait analysis for daily orthopaedic practice.
J Med Eng Technol. 1977 Mar;1(2):86-91. doi: 10.3109/03091907709160610.