Nie Yuting,Li Yu,Zhu Guanghui.Assessment and Surgical Treatment Progress for Knee Flexion Deformity in Cerebral Palsy[J].Journal of Clinical Pediatric Surgery,2025,(05):490-494.[doi:10.3760/cma.j.cn101785-202404047-018]
脑性瘫痪膝关节屈曲畸形的评估及外科治疗进展
- Title:
- Assessment and Surgical Treatment Progress for Knee Flexion Deformity in Cerebral Palsy
- Keywords:
- Cerebral Palsy; Knee Flexion Deformity; Lower Limb Deformities; Symptom Assessment; Surgical Procedures; Operative; Child
- 摘要:
- 脑性瘫痪常伴有肢体畸形,包括上肢、髋、膝、踝、足畸形等,给患儿的生活和行动带来很大的不便。膝关节屈曲畸形是脑性瘫痪患儿肢体畸形中较为常见的一种,目前的治疗方案包括支具治疗、康复锻炼、肉毒素治疗、软组织手术、骨性手术以及外固定治疗等。各种治疗方案的具体适应证不同,目前暂无相应的共识或指南。本文对脑性瘫痪膝关节屈曲畸形的形成原因、评估及治疗方案进行综述,为脑性瘫痪膝关节屈曲畸形的临床诊疗提供参考。
- Abstract:
- Cerebral palsy often accompanies limb deformities,including abnormalities in the upper limbs,hips,knees,ankles,and feet,which significantly hinder the daily activities and mobility of affected children.Among these,knee flexion deformity is a common limb deformity seen in children with cerebral palsy.Current treatment options encompass brace therapy,rehabilitation exercises,botulinum toxin therapy,soft tissue surgery,bony surgery,and external fixation.Each treatment modality has specific indications,and there is no current consensus or guidelines.This article reviews the causes,assessment,and treatment options for knee flexion deformity in cerebral palsy,providing references for the clinical diagnosis and treatment of this condition.
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备注/Memo
收稿日期:2024-4-20。
基金项目:国家重点研发计划(2023YFC2507605);儿童骨科学湖南省重点实验室开放课题(2023TP1019)
通讯作者:朱光辉,Email:zgh5650@163.com