Open AccessSupracondylar femoral extension osteotomy and patellar tendon advancement in the management of persistent crouch gait in cerebral palsy
Author(s) -
Sakti Das,
Sudhakar Pradhan,
G. Shankar Ganesh,
Pabitra Sahu,
Ram Narayan Mohanty,
Sanjay Das
Publication year - 2012
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.93677
Subject(s) - medicine , cerebral palsy , gait , patella , gait analysis , knee joint , physical medicine and rehabilitation , orthopedic surgery , physical therapy , surgery
Severe crouch gait in adolescent cerebral palsy is a difficult problem to manage. The patients develop loading of patellofemoral joint, leading to pain, gait deviation, excessive energy expenditure and progressive loss of function. Patella alta and avulsion of patella are the other complications. Different treatment options have been described in the literature to deal with this difficult problem. We evaluated outcome of supracondylar femoral extension osteotomy (SCFEO) and patellar tendon advancement (PTA) in the treatment of crouch gait in patients with cerebral palsy.