A tendon transfer surgery involves the precise cutting of the tendon at its normal insertion point, and then threading it through the soft tissues either around or between bones, and connecting it to another bone. Because the tendon and surrounding tissues are so fragile, this procedure requires the gifted, meticulous hands of a surgeon. I had this procedure when I was seven and it truly was the single most influential ‘work’ in my life. Not only did it give me another chance at mobility, my tendon transfer operation fostered a tenacious spirit within me.
At around seven years old, I was diagnosed with Cerebral palsy which left muscles in my lower limbs. I had the early stages of drop foot. Drop foot is a debilitating condition whereas the affected slowly lose the ability to pull their foot
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The procedure always spoke to me as an embodiment of the human spirit. ‘ If we cannot fix it one way, we will do it another; If we cannot mend the brain, we will correct the feet.’ Ever since my operation, I have used this same outlook to overcome all the handicaps. When I came home from the procedure, I had both legs in soft-wrapped splints. I was to be non-weight bearing and to keep still. The recovery period was frustrating for me and absolutely maddening for my mother. I had no interest in being immobile. So within days of coming home in the splints, I had to be brought back to the hospital. I had snapped the splints in to by trying to crawl. Afterwards, I was put into hard castings and I was more cautious. Once out of my castings, I had to endure a year or more of physical therapy, because I had to learn how to walk again. To this day, I refuse to let my disability stunt my potential. I have tried at every available opportunity to challenge myself, to keep on fighting, and to invent ways around my
The surgeon may suggest doing an arthroscopy, just to make sure it’s not arthritis causing the pain. An arthroscopy is where an incision is made in your elbow and a small camera is inserted to see what is happening inside your elbow. However, an arthroscopy is not always necessary. The surgery begins with an incision on the medial (inside) side of the elbow. Then the tendon from another part of the patient’s body is inserted into the elbow. The new tendon is usually found in the person’s forearm, hamstring, knee, or foot. The procedure of replacing one tendon with another tendon from the same body is known as autograft. In order for the surgeon to see the problem they must split the flexor muscle and then reattach them after the procedure is over. The surgeon will drill two holes in the ulna and three holes at the end of the humerus. The tendon is threaded through the first two holes then through the triangular shaped holes at the end of the humerus. After the tendon is secured, sutures are placed at each end of the tendon. The surgeon uses the sutures to pull and bring the new tendon to the right amount of tightness. Then the sutures are tied together to hold the tendon in place. After the surgeon has completed all of these steps, the insertion is stitched back up. (EOrthopod). Once the surgical procedure is finished, the doctor will explain the recovery
A Leg to Stand On, by Oliver Sacks, is a book about Sacks himself. Sacks depicts the story of his self-induced disability, and the mental/physical barriers he faced within recovery, and acceptance. Sacks broke down this process into seven steps: the mountain, becoming a patient, limbo, quickening, Solvitur Ambulando, convalescence, and understanding. Along with the physical and mental barriers he faced, there were many macro/micro contextual level issues throughout the book. These issues included problems with his doctors, with his self-identification, and body ego.
One obstacle I have faced, and will continue to face, revolves around my feet. When I was born, the doctor immediately informed my mother that I was happy and healthy, however, my feet happened to be upside down and backwards. In the next few weeks, my parents met with scores of doctors to learn about my condition, know as bilateral Clubfoot. The most notable of these doctors was Dr. Ignacio Ponseti, arguably the most learned doctor in the field of Clubfoot, who said to my mother: “my best advice would be to prepare him for a desk job”. Since my birth, I have had two sets of surgeries on my feet, have had casts on both legs for years, and was in a wheelchair for almost a year at the age of five. The innumerable challenges posed by my disorder
assess, diagnose and treat abnormalities and diseases related to the foot and lower limb in people of all ages
Physical therapy after surgery is best to help heal tendon problems. For more serious surgeries for restorative procedures on the tendon tissue the patient is best advised to delay before going to therapy. Because of this rehabilitation can be slower to allow the tendon to fully heal before too much pressure can be put on the
Often times if the spina bifida is minor the surgery can almost completely solve the issues the person is having. These surgeries require many different procedures that normally include neurosurgical, orthopedic, and urologic. Infection is common among these patients especially after being operated on. They must be monitored very closely so the infection can be reversed. After the surgeries the orthopedic surgeon becomes the most important role. Their job is to monitor the range of motion, motor strength, skin irritation, and more. Many times the orthopedic surgeon will have to provide the person with braces. These braces will help the person stand the correct way if they can. That way when walking they can strengthen the muscles used to walk. This will get the person one step closer to living a close to normal
The loss of the tendon-to-bone insertion site is a common and difficult problem in orthopedic injuries of the hand, elbow, knee, shoulder, heel and foot. These types of injuries may be treated surgically by repair, reconstruction or grafting solutions. Tears of flexor tendons of the hand, for instance, requires surgical attachment of a tendon to its bony insertions. The processes may be beneficial to the patient but have the potential to lead to possible complications including adhesion formation, tenolysis, persistent tears and sub-optimal function as result of limited motion. [1-2] In addition, in the case of traumatic injuries, amputation maybe necessary but has the potential for inducing permanent functional, psychosocial, and cosmetic
I remember when I was about two years old, I seen my brother on the hospital bed laying there sleep. I was to young to actually know what was going on but I knew something was not right. My mom used to spend hours at the hospital monitoring him and making sure everything was going all right. Most of the circumstances I spent nights at my grandparents house because my mom didn't want me to see him like that. When my brother was born he acquire Talipies Equinovarus also called Clubfoot. Clubfoot is a birth defect in which the foot is twisted out of shape or position. The cause of Clubfoot is unknown. My brother spent years in and out of the emergency room. He wore vast after cast for years too. My brother is sixteen now and doing better than
Although I had my foot amputated I am lucky because I still can walk with a little assistants. Others like Charlie had both feet amputated too the knee. I am also lucky because I have escaped without shell shock. This is a new mental illness that leaves the patient very
Therefore, understanding the development could lead us to understanding of regeneration of the natural tendon-to-bone insertion
The operation is performed by two neurosurgeons, who consider it a routine procedure. You won’t and neither will your family and friends, and you’ll be surprised to be let out of the hospital in only a few days. The operation takes about 4 hours, and you’ll barely be over the effects of anesthesia before the medical staff expect you to be up and about.
There’s things in life that everyone takes pride in, things that they won't ever be ashamed of. I have so much to be proud of especially in myself. After having Spinal Fusion surgery, i’ve done things I never thought I would be able to do, and one of them is learning to find my balance and walk again.
“Alright Ms. Kylie Carr we found a tethered cord and we need to schedule surgery in the next three weeks.” They found a what? She started throwing dates at us before we could even comprehend what happened “Now their is a very low chance this will help but from your extensive history you probably are desperate for a solution.” We agreed and came up with a date, and before I could blink it was nine weeks later and I had the surgery and went through the six week recovery. Nerves take six months to a year to heal but the long agonizing wait was worth
Up front, I knew of the 2 percent chance that spinal fusion wouldn’t be mandatory, but I held onto that possibility. It was agonizing to hear that I would never be able to bend my spine again. Had there been some reason to place the blame on me for this obstacle, this journey would have been much more manageable. Instead, I had no one to blame but God. I couldn’t believe that He would let my own body fail me. To make problems worse, I was an avid gymnast, and two titanium rods and twenty screws were about to take my passion away from me. After countless shed tears, I convinced myself that the surgery was going to help rather than hurt me. In the weeks leading up to my operation, it took every ounce of courage in my hundred pound body to be strong. And because of my bravery during this particular time-span, every obstacle I’ve faced since has appeared as a gust of wind rather than a
When you get surgery, you have the first feeling that you cannot do anything because of your injury. If you had surgery on your hand, you’re bound by one hand; you can’t partake in activities or tasks that you’ve used to do when everything was normal. For me, it was my ankles I’ve had surgery on. This was an important point in my life, going into a foreign situation, dealing with the grievances, and coming out enlightened from the issue. Learning from other people that’ve dealt with these situations can prepare yourself if you were going through a surgery. If you were to ever go down the road to recovery, just know that when you reach the end of that road, you will come out a better person.