Tendon Lengthening Surgery for Children with Cerebral Palsy - Orthopedics

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Tendon lengthening surgery is a common procedure for children with cerebral palsy (CP), particularly for those experiencing spasticity and muscle tightness that can lead to deformities such as knee flexion contractures. Your concerns are valid, and it's essential to understand the implications of this surgery, especially at a young age. Let’s address your questions one by one.

1. Will this surgery affect my bone growth?
Tendon lengthening surgery can potentially impact bone growth, but this largely depends on the timing of the surgery and the specific techniques used. In children, the growth plates (epiphyseal plates) are still open, which means that their bones are still growing. Surgeons typically take care to avoid damaging these growth plates during the procedure. However, if the surgery is performed too close to the growth plates, there may be a risk of affecting bone growth. It’s crucial to discuss this with your orthopedic surgeon, who can provide insights based on your specific situation and growth patterns.

2. Will there be any side effects or complications from this surgery?
As with any surgical procedure, tendon lengthening surgery carries risks. Common complications can include infection, nerve damage, and stiffness in the joint. There may also be a risk of over-lengthening the tendon, which could lead to weakness or instability in the affected joint. Post-operative care, including physical therapy, is vital to minimize these risks and ensure proper recovery. Your surgeon will discuss these risks with you and provide strategies to mitigate them.

3. Will there be significant differences in tension results before and after the surgery?
Yes, there can be significant differences in muscle tension and joint function before and after tendon lengthening surgery. The primary goal of the surgery is to reduce muscle tightness and improve the range of motion in the affected joints. Many children experience improved mobility and function after recovery. However, the extent of improvement can vary based on individual factors, including the severity of the condition, the specific muscles involved, and adherence to post-operative rehabilitation protocols.

4. What might happen if I don’t undergo this surgery and rely solely on rehabilitation?
If you choose not to have the surgery, relying solely on rehabilitation may help manage symptoms to some extent, but it may not fully correct the knee flexion contracture. Over time, untreated contractures can lead to increased pain, decreased mobility, and further deformities. This can significantly impact your overall quality of life and ability to participate in daily activities. Rehabilitation can improve strength and flexibility, but it may not be sufficient to achieve the same level of function that surgery could provide.

In conclusion, tendon lengthening surgery can be a beneficial option for children with cerebral palsy experiencing muscle tightness and joint deformities. It is essential to have a thorough discussion with your orthopedic surgeon about the potential benefits and risks associated with the procedure. They can provide tailored advice based on your specific condition, growth patterns, and rehabilitation goals. Remember, the decision should be made collaboratively, considering both medical advice and your personal preferences. Good luck with your evaluation and potential surgery!