Name of the Procedure:

Lengthening of Hamstring Tendon; Multiple Tendons, Bilateral

Summary

The lengthening of the hamstring tendon involves surgically elongating the tendons in the back of both thighs. This procedure aims to increase flexibility, reduce tightness, and improve overall leg function.

Purpose

This procedure is typically performed to address issues such as tight or shortened hamstring tendons. The goals are to relieve pain, improve range of motion, and enhance the patient's ability to perform daily activities and physical exercises.

Indications

• Persistent hamstring tightness not relieved by physical therapy
• Flexion contractures of the knee
• Cerebral palsy
• Post-injury scar tissue
• Difficulty with walking or running due to tight hamstrings

Preparation

• Fasting for at least 8 hours prior to surgery
• Temporarily discontinuing certain medications as advised by the physician
• Pre-operative physical examination and possibly imaging studies like MRI or ultrasound to assess the tendons

Procedure Description

1. The patient is placed under general anesthesia.
2. Small incisions are made along the back of the thighs.
3. The tendons are carefully exposed and surgically lengthened.
4. Incisions are closed with sutures, and the area is bandaged. Tools: surgical scalpel, tendon-cutting instruments, sutures Technology: Possible use of ultrasound guidance for precision

Duration

The procedure typically takes about 2 to 3 hours.

Setting

This surgery is performed in a hospital or surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Possibly a physical therapist for post-operative advice

Risks and Complications

• Infection
• Bleeding
• Nerve injury
• Over-lengthening or under-lengthening of tendons
• Scar formation
• Need for additional surgeries

Benefits

• Decreased pain and discomfort
• Improved range of motion and flexibility
• Enhanced ability to walk, run, and perform physical activities
• Long-term improvement in quality of life

Recovery

• Initial hospital stay may last 1 to 2 days
• Follow-up appointments to monitor healing
• Physical therapy starting within a few weeks to aid recovery and strengthen muscles
• Full recovery may take several months, with activity restrictions gradually lifted

Alternatives

• Physical therapy and stretching exercises
• Use of orthotic devices
• Medications to manage pain and inflammation
• Less invasive surgical options like tendon release (less effective for severe cases)

Patient Experience

During the procedure: The patient will be under general anesthesia and will not feel any pain. Post-procedure: Some pain and swelling in the legs, managed with pain medication and ice packs. Gradual improvement in leg function and mobility with ongoing physical therapy.