PERCUTANEOUS TENDON RELEASE

 

 

Diagram showing the powerful Iliofermal ligament that may contribute to the severity of Robbie's contractures and the inability to totally straighten out in the region between his torso and top legs that presently bring his knees toward his chest when laid down (Pictured below). Due to a seated posture 24/7 since the age of 12 the Iliofermoral ligament would have become shortened.

 

 

If appropriate it's hoped with further consultation with orthopaedic surgeons he will be allowed a partial release of the Iliofemoral ligament that he has not had before but may give similar relief and results (but in a different area but for similar mobility range and hygiene reasons) as a recent percutaneous tendon release in his groin area as pictured below. And consideration of partial tendon release in the same area as the Iliofemoral ligament.

 

           

 

Procedure performed 4th June, 2013.

 

 



 

Above: before and after percutaneous tendon release of the inner leg groin area. Pressure area causing prior severe pressure sores on the lower right back has been relieved due to the majority of the twist in the hips being rectified. Robbie had non percutaneous tendon release in the same area as a young child but physiotherapy was not followed afterward resulting in the tendons again shortening and leaving him eventually with a worsening twist over the years and severe pressure sores these past six months as seen in above picture.

 

Percutaneous procedure is chosen by some surgeons to reduce risk of infection and avoid the pain and discomfort of stitches. We both thank all involved for their consideration of Robbie's comfort post op.