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Stiff knee gait, which may be seen in patients with upper motor neuron injury, describes a gait pattern with a relative loss of sagittal knee motion. It interferes with foot clearance during swing, often leading to inefficient compensatory mechanisms and ambulatory dysfunction. Distal rectus femoris muscle transfers and fractional lengthening of the vastus muscles have been performed in adult patients.

Rectus Femoris to Gracilis Muscle Transfer With Fractional Lengthening of the Vastus Muscles: A Treatment for Adults With Stiff Knee Gait