The effect of rectus femoris transposition on stiff knee gait and pelvic tilting after patella tendon shortening in children with cerebral palsy.

Not Applicable

Recruiting

• Conditions: G80; Cerebral palsy

• Registration Number: DRKS00016898
• Lead Sponsor: niversitätsklinikum Heidelberg, Klinik für Orthopädie und Unfallchirurgie

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2019-03-27
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Children and adolescents diagnosed with spastic bilateral cerebral palsy (GMFCS Level I-II) and crouch gait, patella alta, parent/legal guardian consent to the study participation of minors, participation with standardized clinical examination and instrumental 3D gait analysis at E0, E1, E2 and E3.

Exclusion Criteria

Previous operations on the lower extremities, patient or guardian desire to withdraw from the study, Botulinum toxin therapy within the last 6 months, recent antispastic medical therapy, non-compliance with therapy or follow-up, patellar stress fractures.

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Quantitative effects on the degree of knee extension-flexion and pelvic tilting during the gait cycle, as measured with 3D gait analysis immediately before (E0) and 1 (E1), 2 (E2), and 5 (E3) years after surgery.

Secondary Outcome Measures

Name	Time	Method
Effects on the following parameters at E0, E1, E2, and E3: <br>Range of motion of the lower extremities. <br>Quantitative and qualitative imaging findings (e.g., Koshino-Index, pseudoarthrosis signs, etc). <br>Strength (Biodex strength assessment) and spasticity (electromyography).