The adductor muscle group is responsible for moving the thigh bone toward the midline. A clinical picture that starts with a disruption in the hip mechanics and progresses to the hip dislocation may be seen in the children with cerebral palsy upon spasticity of this muscle.
As both thighs are very close to each other and even crossing each other, problems in standing, sitting, and providing personal hygiene may be encountered. Botulinum toxin or release surgeries are applied to these muscles when necessary as a result of the evaluation made by a pediatric orthopedist. Surgery is performed through a 1 cm skin incision and the resulting scar will be quite small.
No postoperative casting is applied, and a device that holds the hips open may be used according to the pediatrician’s decision. An intensive physiotherapy is important to prevent shortening in the muscle again. Patients who were able to walk before surgery can also walk after the surgery. The patient should use the drugs prescribed after discharge and come to the outpatient controls on the 10th and 21st days postoperatively.