Method for treating spastic cerebral palsy in bilateral extremities

A treatment method and lower extremity technology, applied in the medical field, can solve the problems of many operations, heavy family economy, long recovery time, etc., and achieve the effect of good treatment effect, improvement and recovery of physical fitness, and prevention of complications.

Inactive Publication Date: 2011-01-26
石家庄市第八医院
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] Spastic cerebral palsy of both lower extremities accounts for about 70% of cerebral palsy. The conventional treatment in the past is often to choose fractionated and divided joint surgery for correction; the number of operations is large; the recovery time is long; the family economy is heavy.

Method used

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Examples

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Embodiment Construction

[0013] The present invention will be described in further detail below in conjunction with the examples.

[0014] A group of cases selected in this embodiment, 73 males and 51 females. Age 4-24 years old, average 14 years old. All of them had scissor gait of both lower limbs, knee flexion deformity, equinus foot varus and valgus deformity. The adductor muscle incision, the hamstring muscle incision and the ankle incision are used. Simultaneously relieves spastic deformity, hypertonia, scissors gait and equinus deformity. Plaster immobilization for 6-7 weeks after operation, get out of bed for functional exercise one week after operation. After 1 month, 3 months, 6 months to every 6 months to come to the hospital for review. All patients came to the hospital for reexamination after operation, and the follow-up time was 0.5-6 years, with an average of 3.25 years.

[0015] The surgical method is as follows:

[0016] Choice of anesthesia: general anesthesia is chosen for the...

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PUM

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Abstract

The invention belongs to the technical field of medication, and relates to a method for treating spastic cerebral palsy in bilateral extremities. The method comprises the following steps: (1) implementing anesthesia; (2) regarding composite abnormality, selecting a skin cut with length of between 3 and 4cm of the inner thigh from the outer margin of pubic symphysis along the inner margin of pectineus, debonding adductor, and cutting anterior branch of obturator nerve, cutting the adductor longus and tendon starting point of gracilis in a 'Z' shape, determining the proportion of debonding the adductor magnus, pectineus and adductor brevis according to the hip abducence, cutting 1 to 2cm of the anterior branch of the obturator nerve; (3) regarding genuflex deformity, prolonging hamstring, prolonging semitendinosus, semimembranosus and gracilis in a 'Z' shape, and performing 'Z' shaped prolonging on biceps femoris if the genuflex deformity is serious, and determining the proportion of hamstring prolonging according to the genuflex degree; (4) regarding equinus deformity, prolonging the triceps surae muscle, and prolonging the tibialis posterior in the cut in the 'Z' shape; and (5) regarding severe oseous deformity: performing triple arthrodesis. The method can improve the walking capability of extremities, and creates the independent living skill and qualified living quality for a patient.

Description

technical field [0001] The invention belongs to the field of medical technology and relates to a treatment method for cerebral palsy. Background technique [0002] Spastic cerebral palsy of both lower extremities accounts for about 70% of cerebral palsy. The conventional treatment in the past is often to choose fractionated and sub-joint surgery for correction; the number of operations is large; the recovery time is long; the family economy is heavy. The treatment was given up during the period, and the deformity often recurred. Contents of the invention [0003] The present invention is proposed for patients with better intellectual status and better muscle voluntary movement control ability. The purpose is to correct limb deformities, improve the stability of the trunk, enhance the motor function of the patient, improve the walking ability of the lower limbs, and create a new life for the patient. Skills for independent living and a satisfactory quality of life. [000...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/00A61B19/00A61B17/56A61F13/04
Inventor 夏保志周自贵赵永会芦瑞根夏贺欢贺娟敏
Owner 石家庄市第八医院
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