Your orthopaedic doctor has recommended that your child undergo surgery to lengthen the adductor tendons, hamstring tendons and heel cord tendons. Your doctor may call this surgery an "All American Procedure."
Your child will be admitted to the hospital after having this surgery. After surgery, your child will be in a body cast from the nipple line to the toes, or have long leg casts on each leg, with a bar between the legs that will spread the legs apart. The cast will stay on about three to six weeks.
Swelling and bruising in the groin, or private area, is common after this surgery. It may last for one to two weeks, and may be relieved by frequently changing position and putting ice packs to the groin. Your child may also have muscle spasms for several days. Prescriptions for pain medicine, and medicine to help relax your child's muscles, will be available when you are ready to take your child home. It is important to keep the groin incisions as clean and dry as possible. Refer to Hip Spica Cast Care for appropriate diapering/care to prevent soiling of the cast.
Your orthopaedic doctor will determine whether your child will be re-admitted to the hospital to have the cast removed and undergo physical therapy. Sometimes these procedures can be done at the doctor's office or clinic.
Sometimes a brace is needed when the cast is removed. If a brace is needed, you will be given a prescription. You will be given help in arranging a visit to a brace shop where the braces will be made.
Talk to your doctor about when your child should begin physical therapy. Usually four to six weeks after the cast is removed, you will have an appointment with your orthopaedic doctor.