Wenz W, Wenz D, Döderlein L
Abteilung Orthopädie II-Schwerpunkt Rehabilitationsmedizin, Stiftung Orthopädische Universitätsklinik Heidelberg.
Rehabilitation (Stuttg). 1998 Aug;37(3):134-9.
In rehabilitation of children and adolescents with lower limb deficiencies it is very important that the medical team taking care of the patient works out a treatment plan. Responsible cooperation with the parents is of utmost importance, the focus of all efforts is, of course, the handicapped child. The aims of rehabilitation are illustrated by examples demonstrating the course of successful rehabilitation of children and adolescents with damaged limbs. Equally, the psychological situation of the parents and child is taken into consideration. Children with limb deficiencies or amputation of the lower extremities should be enabled to stand and walk according to their state of development, because standing and walking in particular are among the most important preconditions for the best possible integration. Provision with a prosthesis, orthosis and orthoprosthesis is therefore indispensable for rehabilitation. While a prosthesis replaces parts of an extremity, an orthosis stabilizes the existing extremity. Orthoprostheses compensate longitudinal malformations, have a supporting effect, allow growth to be controlled, and compensate for shortening. Just as important as these technical aids is early medical treatment. The sooner the treatment starts, the better the results.
在对下肢有缺陷的儿童和青少年进行康复治疗时，负责照顾患者的医疗团队制定出治疗方案非常重要。与家长进行负责任的合作至关重要，当然，所有努力的重点都是残疾儿童。康复的目标通过实例来说明，这些实例展示了肢体受损的儿童和青少年成功康复的过程。同样，家长和孩子的心理状况也会被考虑在内。下肢有缺陷或截肢的儿童应根据其发育状况能够站立和行走，因为站立和行走尤其对于实现尽可能好的融入来说是最重要的前提条件之一。因此，提供假肢、矫形器和矫形假肢对于康复来说不可或缺。假肢替代肢体的部分，而矫形器稳定现有的肢体。矫形假肢补偿纵向畸形，具有支撑作用，能控制生长并补偿肢体缩短。与这些技术辅助工具同样重要的是早期医学治疗。治疗开始得越早，效果越好。
