![]() In cases where the deformity is too severe to be managed with simple realignment, fusion can provide a durable option to provide long-term support of a patient’s skeleton. Bony reconstructionīony reconstruction allows for direct restoration of anatomic position of joints or relief of rotational abnormalities which result in brace intolerance. Tendon transfers allow muscles to be partially transferred to a different location in the joint, which can improve balance of the forces across a joint. Where botulinum toxin and medical management can globally or focally weaken a spastic muscle, they cannot alter its pull. Lengthening procedures can also be used to decrease the need for bony surgery in younger children, and reduce tone on a more permanent basis than botulinum toxin (Botox). Muscle lengthening procedures may be performed surgically to improve joint motion and gait (walking), and to prevent deformities. Our surgeons may use the following to treat your child's cerebral palsy foot disorders. ![]() ![]() Casting is generally needed for several weeks after surgery. Orthopaedic surgeons at Children's Hospital of Philadelphia (CHOP) design surgeries to correct as many contractures as possible during a single trip to the operating room.
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