About Scissoring Gait
Key Highlights
-
Non-surgical, multidisciplinary approach focused on improving mobility and function.Aims to correct abnormal walking patterns to prevent long-term joint and muscle complications.Personalized treatment plans involving physical therapy and orthotics.Enhances a child's independence and participation in daily activities.Can significantly improve gait efficiency and overall quality of life.
Who is this surgery for?
- Diagnosis of cerebral palsy, particularly spastic diplegia.
- Presence of significant muscle spasticity or tightness in the hip adductors and inner thigh muscles.
- Gait abnormality causing functional limitations, frequent falls, or difficulty with mobility.
- Risk of developing secondary issues like joint contractures, hip subluxation, or pain.
- When the scissoring pattern interferes with the use of assistive devices like walkers or crutches.
How to prepare
- Comprehensive gait analysis and physical examination by a pediatric orthopedic specialist.
- Diagnostic imaging (like X-rays or MRI) may be used to assess bone alignment and rule out other conditions.
- Evaluation by a physical therapist to assess muscle strength, tone, and range of motion.
- Discussion of treatment goals and expectations with the child's family or caregivers.
- Fitting and fabrication of custom orthotic devices (braces or AFOs) if prescribed.
Risks & possible complications
- Discomfort or skin irritation from orthotic devices.
- Muscle soreness or fatigue during physical therapy.
- Limited effectiveness if the underlying neurological condition is severe.
- Potential for muscle weakness if strengthening exercises are not balanced.
- Psychological adjustment challenges for the child related to using assistive devices.
Recovery & hospital stay
- Involves consistent participation in prescribed physical therapy exercises to stretch tight muscles and strengthen opposing muscle groups.
- Regular use of orthotic devices as directed by the orthopedic team.
- Periodic follow-up appointments to monitor progress and adjust the treatment plan.
- Integration of therapeutic activities into daily routines and play.
- Family education and support are crucial for encouraging the child and ensuring adherence to the home exercise program.
-
Typical hospital stay: Typically outpatient (0 days)
-
Expected recovery time: Ongoing process over months to years
Frequently Asked Questions
If you are considering scissoring gait in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform scissoring gait. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for scissoring gait compare across other countries where we have data.
Vikram Sharma is a cheerful 8-year-old...
Vikram Sharma is a cheerful 8-year-old boy from Mumbai who loves cricket. Born with mild cerebral palsy affecting his legs, he has always walked with a distinctive 'scissoring' pattern, his knees and thighs crossing over each other like scissors with each step. This made walking tiring, unstable, and caused him to trip frequently, especially when trying to run with his friends. His pediatric orthopedist, Dr. Mehta, explained that the procedure, a selective percutaneous adductor tenotomy, would release the overly tight inner thigh muscles causing the scissoring. The minimally invasive surgery was quick. Vikram was nervous the morning of the procedure but was comforted by his parents and the child-friendly hospital staff. After a short hospital stay and a period of using walkers and intensive physiotherapy, Vikram's gait dramatically improved. His legs now move straighter, with better spacing. He feels more confident and stable, and though he still needs ongoing therapy, he can now participate in playground games with much greater ease. His emotional journey moved from frustration and self-consciousness about his awkward walk to pride and joy in his newfound mobility and independence.