Tenotomy
Tenotomy is a surgical procedure that involves cutting a tendon. This procedure is typically performed to relieve tension or reduce muscle activity. Tenotomy is often used in the treatment of conditions such as cerebral palsy, clubfoot, and strabismus.
Procedure
The tenotomy procedure involves making a small incision in the skin to access the tendon. The surgeon then cuts the tendon, either partially or completely, depending on the specific needs of the patient. After the tendon is cut, the surgeon may choose to reattach it in a different position to alter muscle tension. This is known as a tendon transfer.
Uses
Tenotomy is used in a variety of medical conditions. In cerebral palsy, it can be used to reduce muscle spasticity and improve mobility. In clubfoot, it can be used to correct the position of the foot. In strabismus, it can be used to correct misalignment of the eyes.
Risks and Complications
As with any surgical procedure, tenotomy carries risks. These can include infection, bleeding, and damage to surrounding tissues. There is also the risk that the procedure will not fully correct the problem, or that it could overcorrect it, leading to new problems.
Recovery
Recovery from tenotomy can take several weeks. Physical therapy is often required to regain strength and mobility in the affected area.
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Contributors: Prab R. Tumpati, MD