麻痹性膝反屈畸形手术方式的比较和评价：附295例报告

自１９７７年以来，运用８种手术方式治疗２９５例婴儿瘫麻痹性膝反屈畸形。男性１４６例，女性１４９例；年龄６～３６岁，平均１９．５５岁；膝反屈度数１５～７０°，平均３４．６３°。所有病人均得随访。认为疗效肯定的有胫骨平台抬高术；胫骨平台抬高和股骨髁下翻联合手术；腰肌代绳肌术及幼儿胫骨骨骺线附近前部骨膜切除术。相对可供选择的术式有胫骨上端截骨术，胫骨结节下抬高术及Ｈｅｙｍａｎ氏术，而胫骨平台骨阻挡术为不可取的术式。术前研究膝部软组织骨结构情况和能供肌转移之髓以上肌肉肌力情况，以及手术操作仔细、准确对疗效有直接关系。

Comparison and Evaluation of Operative Methods for the Correction of Paralytic Genu Recurvatum.A Report of 295 Cases

Since 1977,eight operative methods had been used for the correction of the paralytic genu recurvattum in 295 cases.Therewere 146 males and 149 females,whose age ranged from six to thirty-six years old,average nineteen years and six months.Thedeformities were from 15 to 70 degrees,(average34. 63 degrees).The authors considered that the procedures of elevation of thetibial plateau and combined with the bone turn over of the distal femur,transfer of sacrospinalis to replace the paralysedhamstring muscles,and the excision of anterior periosteum of upper tibial epiphysis in the young patients had a good and satisfactory results. Osteotomy of upper end of the tibia,bone elevation osteotomy under the tibital tuberosity and Heymansoperation could be indicated relatively.