Short-term Hardware Short-term Hardware Outcomes Following Patellar Outcomes Following Patellar Tendon Advancement in Tendon Advancement in Pediatric Patients with Pediatric Patients with Crouch Gait Crouch Gait Authors Authors Institutions Institutions
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Short-term Hardware Outcomes Following Patellar Tendon Advancement in Pediatric Patients with Crouch Gait AuthorsInstitutions.
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Short-term Hardware Short-term Hardware Outcomes Following Patellar Outcomes Following Patellar
Tendon Advancement in Tendon Advancement in Pediatric Patients with Pediatric Patients with
Crouch GaitCrouch Gait
AuthorsAuthorsInstitutionsInstitutions
IntroductionIntroduction
Cerebral Palsy: motor syndromesCerebral Palsy: motor syndromes- 2° to brain development- 2° to brain development
Kliegman, Robert M., Richard E. Behrman, Hal B. Jenson, and Bonita F. Stanton. Nelson Textbook of Pediatrics. Philadelphia: Saunders, 2007.
Crouch GaitCrouch Gait
Body MechanicsBody Mechanics- Knee flexionKnee flexion- Hip flexionHip flexion- Ankle dorsiflexionAnkle dorsiflexion
Knee and back painKnee and back pain Quadriceps insufficiencyQuadriceps insufficiency Patella alta & Elongation of patellar Patella alta & Elongation of patellar
tendontendon 2° to achilles tendon lengthening2° to achilles tendon lengthening
Stout et al. JBJS 2008
Chambers Eur J Neur 2001
TreatmentTreatment
Gait analysis for evaluation (Pre-op Gait analysis for evaluation (Pre-op Mov?)Mov?)
Kliegman, Robert M., Richard E. Behrman, Hal B. Jenson, and Bonita F. Stanton. Nelson Textbook of Pediatrics. Philadelphia: Saunders, 2007.
Surgical TreatmentSurgical Treatment
Procedures typically doneProcedures typically done– (Get from Halanski)(Get from Halanski)– (Preop and postop x-rays)(Preop and postop x-rays)– (Preop/postop gait analysis)(Preop/postop gait analysis)
- Patellar insertion freedPatellar insertion freed- Patellar tendon advanced distally along Patellar tendon advanced distally along
tibiatibia
- Cercalage wire from patella to insertion- Cercalage wire from patella to insertionStabilize new insertionStabilize new insertion
CombinationCombination
Stout et al JBJS 2008
ObjectiveObjective
To examine the short-term outcomes To examine the short-term outcomes of hardware failure following patellar of hardware failure following patellar tendon advancement in patients with tendon advancement in patients with crouch gaitcrouch gait