Treatment of children with pathology of the musculoskeletal system in combination with cerebral palsy in a military children’s sanatorium

The reconstructive treatment of 825 children with spastic forms of cerebral palsy was evaluated, including 148 patients receiving conservative orthopedic treatment, 677 received orthopedic surgical treatment. Five main surgical methods were used to correct joint contractures and deformities of the limbs: tendon - muscle plastic, bone - joint plastic operations, correction by external fixation devices, alloplasty using tendon and bone bioimplants, selective myofasciotomy. All patients in the treatment used the healing factors of the resort. Long - term results were studied in the period from 1.5 to 8 years after treatment. A good result was observed in 61.2% of patients (achieved a higher level of physical activity, acquired new everyday skills), satisfactory - in 18.4% (partial loss of the achieved correction of contractures), unsatisfactory - in 11.4% of patients (with the initial 5 the level of motor impairment, gross cognitive defect, ongoing hyperkinetic syndrome).

cerebral palsy, joint contracture, limb deformity, orthopedic surgery