What is that Tenthotomy?

Tenotomy is a type of surgery that includes cutting of tendons that is too tight to allow a greater range of movement or correct position of the body. This operation is usually performed only after other less invasive treatment has not been able to provide the desired result. Tenotomy is used in many different situations, for example in cases of strabism, hammers and brain palsy. Tendons that are too short for comfortable movement can be present at birth, but many conditions can cause shortening tendons and muscles. The way the operation is performed differs depending on the extension of the specific tendon, but the aftercare and physical therapies follow roughly the same course. This may eventually stimulate fibrous tissue to grow between muscle fibers and make muscle stretching more difficult; This is called Contacture. In many cases, other treatments such as treatment, castings, splints and stretching exercises are used to try to repair contracture before the recommendation of tenotomy. Tendon can be forcontrolled by the whole part or just part of its width; Sometimes the tendon is divided longitudinally and the connected end to the end to add the length.

Strabism, ie lazy eye, may be present at birth, but can also develop later in life. It includes a short tendon on one side of the eye that pulled the eye out of alignment; Tenotomy is one of many possible operations for repairing Strabism. Hammer Toe is caused by shortening the tendon on the underside of the tip, which causes it to remain in the undulating position. Patients with brain palsy often have a symptom called spasticity that leads to contractual muscles and, in extreme cases, requires tenotomy. Damage at the top of the arm and shoulder due to tuck, excessive use, traumatic injury or deterioration can lead to problems such as tendinopathy biceps with long heads or tears of slapping that may require tenotomy.

Many ten -andomic operations are nIt is performed by arthroscopy, but those that include the tendon division and its re -connected to the end must be open operations. After a tenotomy on the limb correction, the limb is stretched to a normal position and inserted into the cast to hold it in place while the tendon connects or grows again. Important physical therapy is recommended after the cast comes to make the muscles and tendons strong and flexible.

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