C/ Jesús, nº34 - 07003 Palma de Mallorca
juangasull@estudiodelpie.com
Cirugía del paciente Espástico


For many years it can improve muscle contractures and deformities consequent patients with spastic paralysis, by the application of orthopedic surgery.
The school of Barcelona, ​​by Professor Bastos, in the 60 studied in depth these conditions, teaching since then, techniques for surgeons committed to these patients who improved, still apply today.
In the 90's, Dr. Ulzibat, Russian physician, taught us a percutaneous technique, devised by him, which minimized the surgical insult to the patient, allowing in the same procedure, act on multiple muscle groups. This technique, which he called fiberotomy, is based on the destruction of intramuscular fibrosis, causing, according to their theories, retractions affecting these patients. Following these guidelines, properly selected, and in conjunction with existing percutaneous techniques, we started a few years minimally invasive surgery for these patients, with highly satisfactory results.
To perform these techniques, we have some special knives, stabbing of different sizes, and other cut side and contralateral protection.
 

The patient under general anesthesia, may be placed in prone or supine, depending on the approach to be made, and marked by sterile ink, the different points where intramuscular act or intratendinosamente.
 


We will use the instruments shown, to address these points, making swings through this destruction of intramuscular fibrosis,
 

or by percutaneous techniques, the muscle-tendon lengthening, which stabilized to the extent possible, the biomechanics of the affected limbs.
 

An income of 24 hours is enough in the post-operative pain to be minimal these operators to be negligible aggression on the skin surface, which will require even suture material for closure of these mini approaches.