Patellar Tendon Rupture During Postoperative Physiotherapy for Crouch Gait

Author:

Shah Maulin M.1ORCID,Raibagkar Santosh1ORCID,Bansal Sheenam1ORCID,Jain Meet1ORCID,Ponugoti Godhasiri1ORCID

Affiliation:

1. Orthokids Clinic, Ahmedabad, India

Abstract

Introduction: A 14-year-old adolescent girl with spastic diplegic cerebral palsy underwent bilateral distal femur extension osteotomy and patellar tendon plication. Two and a half months after surgery, during physiotherapy, she sustained mid-substance tear of the left patellar tendon. The girl was successfully managed with patellar tendon repair and augmentation with tensor fascia lata autograft. Conclusion: Patellar tendon rupture during rehabilitative physiotherapy after patellar tendon plication surgery is rare. Postoperative protocols in patients with cerebral palsy are crucial and should progress gradually to improve knee range of motion. This report highlights that patellar tendon repair with fascia lata augmentation yields good outcome.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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