Soft Tissue Release and Osteotomies in the Treatment of Patients with Spastic Diplegic Cerebral Palsy (軟組織鬆解和截骨術治療痙攣型雙癱性腦癱患者)
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AbstractWe aim to study the outcome of soft tissue releases by tendon elongations and osteotomies in fixed joint contractures by clinical examination and patient self-reported assessment on 20 patients (14 males and 6 females) with spastic diplegic cerebral palsy treated with single-event multilevel surgery (SEMLS) between 2000 and 2012. A questionnaire was used to collect information on problems encountered before and after surgery and decision on surgery. Comparing patients with Gross Motor Function Classification System class I/II, (N = 8), III (N = 8) and IV/V, patients of classes IV/V showed much slower mean recovery time than I/II group (14.00 vs. 4.38 months, p < 0.01). SEMLS in the treatment of patients with spastic diplegia had good mid-term results in most patients. The patients who had unfavourable outcomes are associated with mental retardation, general or local complications and previous selective dorsal rhizotomy surgery. Patient selection and good rehabilitations preoperation and postoperation provided the most favourable outcomes of SEMLS.

弛的結果。使用問卷收集手術前後遇到的問題以及手術決定的信息。比較粗大運動功能分類系統運GMFCS I /
II級(N ¼ 8)、III(N ¼ 8)和IV / V組患者的平均恢復時間比I / II組慢(14.00比4.38個月,p <0.01)。
Acceptance Date22/12/2017
All Author(s) ListNg Bobby Kin-Wah, Chau Wai-Wang, Hung Alec Lik-Hang, Lam Tsz-Ping, Cheng Jack Chun-Yiu
Journal nameJournal of Orthopaedics, Trauma and Rehabilitation
Volume Number24
Issue Number1
PublisherElsevier (Singapore) Pte Ltd
Pages80 - 83
LanguagesEnglish-United Kingdom
Keywordsosteotomy, cerebral palsy, single-event multi-level surgery

Last updated on 2020-05-07 at 01:28