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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Patellar Tendon Rupture During Postoperative Physiotherapy for Crouch Gait: A Case Report.

Maulin M Shah1, Santosh Raibagkar, Sheenam Bansal

  • 1Orthokids Clinic, Ahmedabad, India.

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|December 14, 2023
PubMed
Summary

A rare patellar tendon rupture occurred during physiotherapy after surgery for cerebral palsy. Surgical repair with fascia lata augmentation provided a successful outcome, emphasizing careful rehabilitation protocols.

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Area of Science:

  • Orthopedic surgery
  • Pediatric rehabilitation
  • Biomechanical injury

Background:

  • A 14-year-old female with spastic diplegic cerebral palsy underwent bilateral distal femur extension osteotomy and patellar tendon plication.
  • Two and a half months post-surgery, during physical therapy, she experienced a mid-substance tear of the left patellar tendon.

Observation:

  • The patient sustained a patellar tendon rupture during a routine physiotherapy session.
  • The injury occurred in the context of post-operative rehabilitation following corrective lower limb surgery.

Findings:

  • The patellar tendon rupture was successfully managed with surgical repair.
  • Augmentation using a tensor fascia lata autograft was employed for the tendon repair.

Implications:

  • This case highlights the rarity of patellar tendon rupture during physiotherapy after patellar tendon plication.
  • Gradual progression of postoperative protocols is crucial for patients with cerebral palsy to improve knee range of motion.
  • Patellar tendon repair combined with fascia lata augmentation demonstrates a favorable outcome.