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Serebral palsi: ortopedik yaklaşım

Cerebral palsy : orthopedic aspects

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Abstract (2. Language): 
Cerebral palsy is a disease that may show motion and posture disorders. Orthopedic management aims to correct these disorders and musculoskeletal deformities. Maximum ambulation of the patient and the functional use of the upper extremities is tried to be reached. Orthopedic surgery comes to the fore in the 4-6 vears of age group. The range of motion of the joints is gained with operations on the tendons of the shortened and stretched muscles.These operations are called tenotomy, lengthening, recession or transfer of tendons. A neuroectomy operation is done on the nerve of a spastic muscle. In excessive deformities of bones and joints and in the older age group, osteotomy and arthrodesis operations are performed. Orthopedic surgery should be appreciated as a complementary part of the team-work for cerebral palsy management. /Journal of Turgut Özal Medical Center 2(1): W-I08.1995/
Abstract (Original Language): 
Serehral palsi hareket ve duruş bozuklukları ile seyreden bir hastalıktır. Ortopedik tedavi bu bozuklukları ve kas iskelet sistemi deformitelerini düzeltmeyi amaçlar. Böylece hastaların hareket yetenekleri geliştirilmeye çalışılır. Cerrahi tedavi. 4-6 yaş grubunda gündeme gelir. Kısalmış ve gergin adelelerin tendonları üzerinde yapılan ameliyatlarla eklemlerde normal hareket genişliğine ulaşılır. Bu ameliyatlara tenotomi. tendon uzatması, geriye alınması veya transferi denir. Nöreklomi ameliyatı spastik bir adelenin sinirine uygulanır. İleri deformitelerde ve daha büyük yaş grubunda osteotomi ve artrodez denen kemik ameliyatları yapılır. Ortopedik cerrahi tedavi serebral palsi tedavisinde gerekli olan ekip çalışmasının önemli bir parçasını oluşturmakladır. /Turgut Özal Tıp Merkezi Dergisi 2(I): KF-108.1995/
107-108

REFERENCES

References: 

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