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Article

Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study

1
Department of Orthopedics, Children’s Hospital Bambino Gesù, Palidoro, 00165 Rome, Italy
2
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico, University of Rome, 00128 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Rodolfo Gómez Bahamonde
Osteology 2021, 1(3), 141-148; https://doi.org/10.3390/osteology1030015
Received: 6 June 2021 / Revised: 12 July 2021 / Accepted: 14 July 2021 / Published: 16 August 2021
(This article belongs to the Special Issue Feature Papers in Osteology)
Muscle retraction in Cerebral Palsy (CP) often requires surgical treatment. Multilevel procedures (using open or percutaneous techniques) are commonly performed in the ambulant patient with CP. The necessity to find new surgical techniques, reduce postoperative discomfort, and accelerate the healing process and rehabilitation is mandatory for these patients. A retrospective cohort study with 189 pediatric patients with CP was performed. The multilevel gradual fibrotomy of Ulzibat was modified using an ophthalmic knife. No significant complications were reported using our technique. Opioid drugs were not necessary, and casting time was reduced at the first 24 h. A significant Range of Motion recovery was assessed post-operatory and maintained at the last follow-up. Mean days of hospitalization were 2.2. The mean follow-up was 39 months (6–64 months). The modified multilevel fibrotomy reduces postoperative pain with easier patient management, resulting in a faster discharge from the hospital. However, the retrospective nature and the lack of a control group of the present study did not allow the authors to report significant results. Further studies with longer follow-up are in progress to obtain more certain data that confirm our preliminary results. View Full-Text
Keywords: fibrotomy; cerebral palsy; spasticity; percutaneous lengthening; percutaneous tenotomy; tendon lengthening fibrotomy; cerebral palsy; spasticity; percutaneous lengthening; percutaneous tenotomy; tendon lengthening
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MDPI and ACS Style

Costici, P.F.; De Salvatore, S.; Russo, R.; Oggiano, L.; Burrofato, A.; Donati, F.; Ruzzini, L. Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study. Osteology 2021, 1, 141-148. https://doi.org/10.3390/osteology1030015

AMA Style

Costici PF, De Salvatore S, Russo R, Oggiano L, Burrofato A, Donati F, Ruzzini L. Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study. Osteology. 2021; 1(3):141-148. https://doi.org/10.3390/osteology1030015

Chicago/Turabian Style

Costici, Pier Francesco, Sergio De Salvatore, Rosa Russo, Leonardo Oggiano, Aaron Burrofato, Fabrizio Donati, and Laura Ruzzini. 2021. "Multi-Level Fibrotomy for Pediatric Patients with Cerebral Palsy: A Cohort Study" Osteology 1, no. 3: 141-148. https://doi.org/10.3390/osteology1030015

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