From the MRI he has decided to do a mixture of soft tissue and bony structure corrections they are the following:
Steindler Release = Plantar Fascia Release
Decancellation of the Cuboid Bone to help with Forefoot Adductus
Abductor Hallucis Lengthening to help with Metatarsus Adductus
Tibialis Posterior Lengthening
This link helps explain some of the these.
He mentioned alot of her muscle in her right leg had turned to fibrous tissue now and that would be why Botox just isn't working on her leg/foot.
A long list of major leg/foot surgery so he puts it. The operation will take 2 ½ hours and she is booked in for 22nd February 2011. She will be in for a few days and will be casted initially for 8 weeks.
He really can't do it any sooner as she is already very young to be having this kind of surgery but at the same time feels that it does need to be done as soon as possible as Botox and Castings are just not working. Unfortunately, he said she will need more surgeries over the years. Her hips are still out but I guess we will see what effect this surgery may have to possibly help correct that problem too?
In some ways I am so very anxious about all this surgery, especially when I have heard alot of friend's stories of how their children have endured similar surgeries with so much pain post op and other complications, but at the same time all we want is Violet to be able to walk and function without pain now and throughout her lifetime and as Violet says herself "want walk like she does" pointing to other little girls :(