What is the role of contracture release in the treatment of spasticity?

Updated: Jun 28, 2019
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Contracture release is the most commonly performed orthopedic procedure. The most common site for contracture release is the Achilles tendon. The tendon is lengthened to correct "equinus" deformity. Other common targets are contractures involving muscles of the knees, hips, shoulders, elbows, and wrists.

The tendon of a contractured muscle is cut, and the joint is then positioned at a more normal angle; a cast is then applied. Regrowth of the tendon to this new length occurs over several weeks, and serial casting may be used to gradually extend the joint. Following cast removal, physical therapy is used to strengthen the muscles and improve range of motion.

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