Frequently Asked Questions
If, despite the information we provide you have any further questions, please do not hesitate to contact us. We will be happy to answer any question you may have.
The fibrotomy, is a medical technique?
Yes, it is a surgical intervention performed by a surgeon assisted by an anaesthetist in an operating room and with all the necessary safety measures. It is not a paramedical procedure, alternative medicine or any of the sort.
In cases of cerebral palsy, when is it convenient to undergo surgery?
It is always done according to the orthopaedic surgeon indications, usually not before the age of two. There is, however, no fixed schedule, each case is different.
Which anaesthetics is required?
The anesthesiologist will decide what will be safest and medically best, considering as well the surgeon‘s opinion. That will depend on the operation sites and number of points to be treated. In the case of general anaesthetic, it usually does not require endotracheal intubation.
How long will the patient stay in the hospital?
Typically, patients are admitted into hospital the day before the operation and are discharged the morning after the procedure.
What preop tests are required?
The doctors will decide upon that, although in most cases they are the usual tests for any surgical intervention.
Which conditions can be treated by Fibrotomy technique?
Generally speaking, all those which present with severe muscle contracture and/or muscle or myofascial pain. The treatment aims to treat both pain and disability. In the case of cerebral palsy and other conditions, the technique facilitates the use of other therapies (physiotherapy, pool therapy, postural education). The risk-benefit relationship is very good, especially when compared with more aggressive procedures such as tenotomy. In severe cases, besides reliving pain, it improves patient care (washing, posture improvement, drooling...), representing on occasions the only effective help available. It is also effective in fibromyalgia, plantar fascitis, carpal tunnel syndrome or myofacial pain, sometimes achieving complete symptom resolution.
What side effects does the gradual fibrotomy have?
After the intervention, sometimes, during the first days, bruises appear in some of the intervened areas. These hematomas can be treated with creams or alcohol compresses. If the hematoma is internal and persists, the area is treated (always with a medical prescription) with ultrasound or magnetic therapy.
What type of rehabilitation is required after the intervention?
The indications are given by the surgeon after the intervention, although in general we can say that if there is voluntary movement, everything will be oriented to postural reeducation or walking. The implication of the speech therapist, physiotherapist or occupational therapist who treats the patient has great relevance in the process of rehabilitation.
Have there been modifications in the gradual fibrotomy intervention since its discovery?
Yes, dr. Alexey Repetunov and other surgeons, after several years of research, study of praxis and following the evolution of patients, have improved and polished the gradual fibrotomy in some aspects, to obtain the best results.
Is gradual fibrotomy an effective treatment against cerebral palsy?
The gradual fibrotomy is an effective surgical technique in the treatment of some of the side effects of cerebral palsy. The objective is to improve the quality of life of the patient and this depends on several things. The degree of neurological involvement, the subsequent rehabilitation and, to a large extent, the degree of cooperation of the patient, will allow the advances achieved by the surgery to increase and consolidate. The objectives which want to be achieved with gradual fibrotomy in pathologies with different degrees, as is the case with cerebral palsy, should be defined consulting the surgeon and developed later with the physiotherapy team.
Are elongations or transpositions made?
Contrary to what some professionals have read or heard, the answer is flatly no. In the treatment of cerebral palsy with this technique, muscles are not elongated and tendons are not sectioned, so there is no subsequent weakness. On the contrary, the treated muscles are given the possibility to perform movements that they could not perform prior to the intervention and to which they should now get used to during the rehabilitation. It is a surgical technique that deals with myofascial and muscular problems, so it has nothing to do with bone or joint problems directly, but will prevent its advance and will be of prophylactic help.