Sakellarides H T, Kirvin F M
Department of Orthopedic Surgery, Boston University School of Medicine, Brighton, MA, USA.
Ann Plast Surg. 1995 Jul;35(1):90-4. doi: 10.1097/00000637-199507000-00018.
Over a 25-year period, 60 children with spasticity of the upper extremity mainly resulting from cerebral palsy underwent surgical reconstruction of the unbalanced wrist. A detailed classification of the deformity is described on the basis of the functional anatomy of the unbalanced wrist in cerebral palsy, which was divided into three groups. In retrospective analysis of the long-term results, this classification has proved helpful in selecting an option for the treatment of this difficult deformity. In addition, the described classification has aided us in keeping accurate follow-up records in predicting the progress of the patient, and in coordinating the postoperative treatment.
在25年的时间里，60名主要因脑瘫导致上肢痉挛的儿童接受了不平衡手腕的手术重建。基于脑瘫中不平衡手腕的功能解剖，对畸形进行了详细分类，分为三组。在对长期结果的回顾性分析中，这种分类已被证明有助于为这种难治性畸形选择治疗方案。此外，所描述的分类有助于我们准确记录随访情况，预测患者的病情进展，并协调术后治疗。
