Neuromuscular Disorders: Treatment Complications of Soft Tissue Surgery in Neurological Disorders

Kubilay BENGa , Evren AKPINARb

aBahçeşehir University Faculty of Medicine, Medical Park Göztepe Hospital, Department of Orthopedics and Traumatology, İstanbul, Türkiye
bUniversity of Health Sciences Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, Department of Orhopedics and Traumatology, İstanbul, Türkiye

ABSTRACT
Surgical interventions on soft tissues are commonly used in the orthopedic treatment of neurological diseases. We can generally classify soft tissue surgeries as tenotomies, tendon lengthening surgeries, and tendon transfers. We can summarize the aim of soft tissue surgeries as achieving soft tissue balance and correcting muscle imbalances resulting from neurological diseases. This way, functional deficiencies arising from the disease are addressed, and potential future skeletal deformities are prevented. For instance, in psoas tenotomy performed at the level of the pelvic brim, there is a proximity to the femoral vascular nerve bundle, making injuries likely. Alternatively, in tendon transfers involving the foot and ankle, circulatory problems can be observed post-transfer. In this section, we will discuss potential complications that may arise in clinical practice during soft tissue surgeries and their solutions. Although it may not be possible to cover all neurological diseases, we believe that fundamental information regarding general approaches will be emphasized.
Keywords: Complications; nervous system diseases; soft tissue procedure; cerebral palsy; myelomeningocele; spina bifida

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