Andrzej GRZEGORZEWSKI, Marek SYNDER, Marcin SIBINSKI

Beyin felçli çocuklarda ameliyat sonrası komplikasyonların önlenmesi

Bu yazıda, beyin felçli çocukların tedavisinde en sık karşılaşılan komplikasyonlar ve cerrahi tedavide ortaya çıkabilecek sorunlardan kaçınma yolları gözden geçirildi. Bu hastalarda doğru tanı koyma, ameliyat yaşı ve ameliyatsız ve ameliyatla tedavilerin önemli noktaları üzerinde duruldu.

Anahtar Kelimeler:

Beyin felci, Hareket açıklığı, eklem, Alt ekstremite, Yaş faktörü, Ameliyat sonrası komplikasyonlar, Çocuk

How to avoid complications after surgery in children with cerebral palsy?

The authors reviewed most common complications and the way to avoid problems in the surgical treatment of children with cerebral palsy, with a focus on making the proper di- agnosis, age at the time of surgery, and approach to nonop- erative and operative treatment.

Keywords:

Cerebral Palsy, Range of Motion, Articular, Lower Extremity, Age Factors, Postoperative Complications, Child,

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1. Khan MA. Outcome of single-event multilevel surgery in untreated cerebral palsy in a developing country. J Bone Joint Surg [Br] 2007;89:1088-91.
2. Matsuo T, Tada S, Hajime T. Insufficiency of the hip adductor after anterior obturator neurectomy in 42 children with cerebral palsy. J Pediatr Orthop 1986;6:686-92.
3. Karol LA, Chambers C, Popejoy D, Birch JG. Nerve palsy after hamstring lengthening in patients with cerebral palsy. J Pediatr Orthop 2008;28:773-6.
4. Dietz FR, Albright JC, Dolan L. Medium-term followup of Achilles tendon lengthening in the treatment of ankle equinus in cerebral palsy. Iowa Orthop J 2006;26:27-32.
5. Grzegorzewski A, Borowski A, Pruszczyński B, Wranicz A, Domzalski M, Synder M. Split tibialis posterior tendon transfer on peroneus brevis for equinovarus foot in CP children. [Article in Polish] Chir Narzadow Ruchu Ortop Pol 2007;72:117-20.
6. Synder M, Kumar SJ, Stecyk MD. Split tibialis posterior tendon transfer and tendo-Achillis lengthening for spastic equinovarus feet. J Pediatr Orthop 1993;13:20-3.
7. Soo B, Howard JJ, Boyd RN, Reid SM, Lanigan A, Wolfe R, et al. Hip displacement in cerebral palsy. J Bone Joint Surg [Am] 2006;88:121-9.
8. Hägglund G, Lauge-Pedersen H, Wagner P. Characteristics of children with hip displacement in cerebral palsy. BMC Musculoskelet Disord 2007;8:101.
9. Jóźwiak M, Marciniak W, Piontek T, Pietrzak S. Dega’s transiliac osteotomy in the treatment of spastic hip subluxation and dislocation in cerebral palsy. J Pediatr Orthop B 2000;9:257-64.
10. Chung CY, Choi IH, Cho TJ, Yoo WJ, Lee SH, Park MS. Morphometric changes in the acetabulum after Dega osteotomy in patients with cerebral palsy. J Bone Joint Surg [Br] 2008;90:88-91.
11. Albiñana J, Gonzalez-Moran G. Painful spastic hip dislocation: proximal femoral resection. Iowa Orthop J 2002; 22:61-5.
12. Perlmutter MN, Synder M, Miller F, Bisbal R. Proximal femoral resection for older children with spastic hip disease. Dev Med Child Neurol 1993;35:525-31.
13. Widmann RF, Do TT, Doyle SM, Burke SW, Root L. Resection arthroplasty of the hip for patients with cerebral palsy: an outcome study. J Pediatr Orthop 1999;19:805-10.
14.İnan M, Chan G, Dabney K, Miller F. Heterotopic ossification following hip osteotomies in cerebral palsy: incidence and risk factors. J Pediatr Orthop 2006;26:551-6.