Abstract：
BACKGROUND: 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.
CONCLUSIONS: 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.
CONCLUSIONS: 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.
摘要：
背景：一名14岁的青少年女孩患有痉挛性双瘫性脑瘫，接受了双侧股骨远端延长截骨术和髌腱折叠术。手术后两个半月,在物理治疗期间，她的左髌骨肌腱持续中质撕裂。该女孩成功地进行了髌腱修复和张肌筋膜自体移植。
结论：髌腱折叠术后康复理疗过程中髌腱断裂是罕见的。脑瘫患者的术后方案至关重要，应逐步推进以改善膝关节的活动范围。该报告强调，the骨肌腱修复伴筋膜扩张可产生良好的效果。
结论：髌腱折叠术后康复理疗过程中髌腱断裂是罕见的。脑瘫患者的术后方案至关重要，应逐步推进以改善膝关节的活动范围。该报告强调，the骨肌腱修复伴筋膜扩张可产生良好的效果。
