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单纯跟腱延长术与跟腱延长术联合腓肠肌神经切除术治疗小儿脑性瘫痪足踝痉挛性马蹄足畸形的比较

Comparison of tendo-Achilles lengthening alone and combined with neurectomy of the gastrocnemius muscle in the treatment of equinus deformity of the foot associated with clonus in children with cerebral palsy.

作者信息

Camacho F J, Isunza A, Coutino B

机构信息

Department of Orthopedic Surgery, Instituto Nacional de Pediatria (INP), Mexico.

出版信息

Orthopedics. 1996 Apr;19(4):319-22. doi: 10.3928/0147-7447-19960401-09.

DOI:10.3928/0147-7447-19960401-09
PMID:8786922
Abstract

In a prospective study of 12 children with spastic cerebral palsy and equinus deformity (21 extremities) complicated by clonus, the results of two surgical techniques were compared. Six children had tendo-Achilles lengthening (TAL) alone and six had TAL combined with neurectomy of the gastrocnemius muscle. The equinus deformity was corrected in all children, but of those with neurectomy clonus subsided in 50%, compared to only 27% in those with TAL alone.

摘要

在一项针对12名患有痉挛性脑瘫和马蹄足畸形(21个肢体)并伴有阵挛的儿童的前瞻性研究中,比较了两种手术技术的结果。6名儿童仅接受跟腱延长术(TAL),6名儿童接受跟腱延长术联合腓肠肌神经切除术。所有儿童的马蹄足畸形均得到矫正,但接受神经切除术的儿童中,50%的阵挛消失,而仅接受跟腱延长术的儿童中这一比例为27%。

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