Article

Traditional thinking regarding surgery for the spastic child has favored
correction of joint deformities one at a time. This often necessitates several
operations. In addition, deformities of unoperated joints may jeopardize
operative results. Since 1975, we have surgically treated all the lower extremity
deformities of each cerebral palsied child in one session. We have carried out
single measure operations as well as multiple operative procedures in which
bilateral corrective operations are performed on several joints. Of 114 children
treated, 40 had multiple and 74 had single operative procedures. Treatment was
successful, without need for further surgery, in 80% of the former group and in
61% of the latter. The advantages of one-session surgery are a reduction in the
number of operations and, possibly, a reduced chance of reoperation and
complications.

Langue : ANGLAIS

Tiré à part : OUI