Smetana V, Schejbalová A
Ortopedická klinika dĕtí a dospĕlých 2. lékarské fakulty KU, Praha.
Acta Chir Orthop Traumatol Cech. 1993;60(4):218-24.
The authors describe the technique of Strayer's operation (gastrocnemius recession) in the spastic form of cerebral palsy and draw attention to its indications, possible combinations with other operations and technical errors associated with its implementation. They evaluate 644 operations made by Strayer's method. In 361 regularly followed-up patients they evaluate from the long-term aspect combined operations of the lower extremities (which form a functional unit), using as a basis their own locomotor and position standards. They emphasize the necessity of a correct strategy, i.e. selection and sequence of surgical procedures. They recommend Strayer's operation (gastrocnemius recession) as the basic operation in pes equinus spasticus and in genu flectum spasticum. In the conclusion they present their own modification of Strayer's operation elaborated by the first author.
作者描述了施特雷尔手术（腓肠肌松解术）在痉挛型脑瘫中的技术，并提请注意其适应证、与其他手术的可能联合以及实施该手术相关的技术错误。他们评估了采用施特雷尔方法进行的644例手术。在361例接受定期随访的患者中，他们从长期角度评估下肢联合手术（构成一个功能单元），以他们自己的运动和姿势标准为基础。他们强调正确策略的必要性，即手术程序的选择和顺序。他们推荐施特雷尔手术（腓肠肌松解术）作为痉挛性马蹄足和痉挛性屈膝畸形的基本手术。在结论中，他们介绍了第一作者精心改进的施特雷尔手术。
