Professional Documents
Culture Documents
Procedures are-
Neurectomy, tenotomy,
Arthrodesis,osteotomy, ostectomy,
Tendon transfer, tendon tenthening,
Fractional myotendinous lengthening,
Multisegmental spinal fusion or a
combination of these procedures.
Orthopedic surgery
Soft tissue surgeries around 6-7 years of age,
unless hip is subluxating then early.
Bony surgeries around 10 years and more.
Lever arm dysfunctions adressed at that time.
Good results in children with spasticity, prognosis
guarded with those with mixed cerebral palsy or
those with involuntary movements.
To improve gait pattern in the ambulatory child
To achieve good sitting in the child who is house-
hold walker
To achieve perenial hygeine in those who have
difficulty for nursing, positioning
Orthopedic surgery
Oga/or gait analysis done, pci done with without
aids
At hip pelvic and femoral osteotomies, generally
vdro varus derotation osteotomy for internal
rotation deformity, ilio-psoas release, adductor
tenotomy anterior branch neurectomy, rectus
release, rectus transfer to it band, surpacondylar
extension osteotomy
Medial and lateral hamstring release
Supramalleolar tibial osteotomies.
Tendoachilles lenthening, peronei release,tib ant,tib
post transfer, grices extra articular arthrodesis.
Adductor hallucis release, metatarsal osteotomies,
arthrodesis
Orthopedic surgery