The goal is different for each child. Some children have difficulty in sitting and the others in walking. Therefore, the goal is to enable sitting for some children and to enable walking for the others.
The studies of the orthopedics in this field may be grouped into four items;
1- In some groups of the patients, there is a waiting period without any intervention. Only methods such as physiotherapy are applied, an observation is done, and an intervention is performed if necessary, considering the recommendations of the physiotherapist.
2- Botox is applied. Botox stops the contraction of the muscles that contract excessively. At that time, the length of the muscle is extended and the stiffened muscle is relaxed by the physiotherapy or the plaster cast. This facilitates the physiotherapy and is sometimes used as a preliminary method for the surgery. Botox starts to effect within three weeks; its effect is maximized within three months and decreasingly disappears within six months. It can be administered to appropriate patients at intervals of six months-one year.
3- Soft tissue surgeries are performed. These are called tendon release and muscle transfer surgeries. These surgeries are suitable for patients who cannot benefit from the Botox application. Muscle transfer is the transfer of all or part of the hard working muscles to another part of the body. Thus, the joint disorders and gait are corrected.
4- A bone surgery is performed in a group of patients as the Botox application and soft tissue surgeries are no longer effective. Bone deformities and joint defects are corrected, and the dislocated joints are reduced in place.
In the treatment of the disease in the field of orthopedics, there is generally a template as follows; Following-up with physiotherapy before the age of two, applying Botox between the ages of two and five years, performing a soft tissue surgery between the ages of five and eight years, and performing a bone surgery after the age of eight.
The biggest problem related to treatment in our country is that as it is a disease that requires the cooperation of many doctors, they cannot find all patients’ relatives in the same center and have difficulty in reaching the right specialists.Both we have a physiotherapist with whom we work in our center and also allow the patient to have a more comfortable treatment process by referring the physicians in the other branches, when necessary.
We treat many patients and perform hundreds of surgeries thanks to our experiences over the years.