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Comparison of two techniques of handling high riding knee cap in patients with cerebral palsy

Patellar tendon advancement versus Patellar tendon shortening for correction of patella alta as a part of corrective surgery for crouch gait in cerabral diplegia in skeletally immature patients ââ?¬â?? a randomized, prospective, double blinded, superiority trial.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2019/10/021677
Enrollment
24
Registered
2019-10-16
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: G801- Spastic diplegic cerebral palsy

Interventions

Intervention1: Patellar tendon advancement: Moving the patellar tendon insertion distally keeping the length in tact Control Intervention1: Patellar tendon shortening: Reducing the length of patellar

Sponsors

Sri Sathya Sai Institute of Higher Medical Sciences Prasanthigram
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Spastic diplegia 2. crouch gait 3. GMFCS levels II OR III 4. Radiological patella alta

Exclusion criteria

Exclusion criteria: 1. Patients who were not able to comply with postoperative rehabilitation protocol. 2. GMFCS level I and IV 3. Patients with ataxia, dystonia or mixed pattern. 4. Severe upper limb impairment that will have impact on ambulation 5. Cognitive impairment that will come in the way of rehab and testing. 6. History of past surgical interventions 7. Dislocated hip or Reimerââ?¬•s migration index more than 30% 8. Severe spinal deformity

Design outcomes

Primary

MeasureTime frame
Radiological outcome of patella altaTimepoint: preoperative, 6 weeks from surgery, 1 year from surgery—

Secondary

MeasureTime frame
Clinical improvementTimepoint: preoperative and 1 year follow up;Functional improvementTimepoint: preoperative and at 1 year follow-up;Improvement in gaitTimepoint: preoperative and at 1 year follow-up—

Countries

India

Contacts

Public ContactKoushik Narayan Subramanyam

Sri Sathya Sai Institute of Higher Medical Sciences - Prasanthigram

drkoushik@hotmail.com9491629620

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026