If, despite the information we have provided, you have other questions about the treatment offered for cerebral palsy or brain injury purchased, do not hesitate to ask us, we will be happy to serve you.

1. Gradual Fibrotomy, is it a medical technique?

Yes, it is a surgical intervention performed by a surgeon assisted by an anesthesiologist and performed in the operating room, with the precise guarantees. It is a rehabilitative surgical technique. It's not paramedicine, alternative medicine or anything like that.

2. In the case of cerebral palsy, at what age is it convenient to operate?

The prevailing criterion is always that of the surgeon, although it is usually indicated after two years, but there is no fixed rule. Each case is particular, although we can say that better results are achieved at an early age and before deformations appear. articulate. If it has already appeared, it can help with joint prophylaxis, but some other type of surgery will probably be needed. corrective orthopedic.

3. What type of anesthesia is used?

In that case, the surgeon and the anesthesiologist decide. It depends on the number and status of the areas to be treated. If it is general, it is performed usually without intubation.

4. How many days of hospitalization are needed?

In general, the patient is admitted the day before the intervention and is discharged the next day.

5. What preoperative tests do I need?

It depends on the specialist doctors and they will be indicated on the day of the consultation, although the usual tests for a surgical intervention usually are.

6. Which pathologies are treatable with gradualgradual fibrotomy?

In general, all those with established muscle contractures or fibrosis associated or not with muscle and/or myofascial pain. The goal is to eliminate or reduce pain, increase the range of active and passive movement, and joint prophylaxis. It's very efficient in the treatment of cerebral palsy, sequelae of brain or neuronal damage, sequelae of cerebral infarction, sequelae of cerebral aneurysm, spasticity and/or myofascial pain. The main objective is to facilitate the advancement of other therapies (physiotherapy, swimming pool, occupational therapy, speech therapy, postural education...) with a good risk-benefit ratio, especially when compared to more aggressive techniques such as tenotomy, baclofen pump or botulinum toxin (botox). In cases of severe neuronal involvement, pain reduction and help Gradual fibrotomy becomes an effective treatment for patient management (hygiene, postural control, drooling...). In case of fibromyalgia, fasciitis, carpal tunnel and other diseases that cause muscle or myofascial pain, produce remarkable improvements ​​and many cases total.

7. What are the sequelae or side effects of gradual fibrotomy?

After the intervention, during the first days, bruises sometimes appear in some of the intervened areas. Bruises treatable with alcohol creams or compresses. If the hematoma is internal and persists, the area is treated (always with a doctor's prescription) with ultrasound or magnetotherapy.

8. What type of rehabilitation is followed after surgery?

Indications are given by the surgeon after the intervention, although in general we can say that if there is voluntary movement, everything will oriented towards postural or gait re-education. The involvement of the speech therapist, physiotherapist or occupational therapist is very relevant to treat the patient.

9. Have there been modifications to the gradual fibrotomy since its invention?

Yes, both dr. Alexey Repetunov like other surgeons, after several years of research, study of praxis and attention to evolution of the patients improved and polished the graded fibrotomy in some respects to obtain the best results.

10. Is Graded Fibrotomy an Effective Treatment for Cerebral Palsy?

Gradual fibrotomy is an effective surgical technique for treating some of the sequelae of cerebral palsy. The objective is to improve the patient's quality of life and this will depend on several things. The degree of neurological involvement, the later rehabilitation and, to a large extent, the degree of cooperation of the patient, will allow the advances made with surgery to increase and consolidate. The goals to be achieved with gradual fibrotomies in pathologies as diverse as cerebral palsy should be make an appointment with the surgeon and should be developed with your physiotherapy team.

11. Are stretches or transpositions performed?

Contrary to what some professionals have read or heard, no and absolutely not. In the treatment of cerebral palsy With this technique, the muscles are not stretched and the tendons are not cut, so there is no posterior weakness. Just the opposite, the treated muscles are able to perform movements that they could not perform before the intervention and those that now you will have to get used to rehab. It is a surgical technique that addresses myofascial and muscle problems, therefore You can't do anything directly with bone or joint problems if they've already appeared, but it will impede your progress and it will help prophylactic.