Clean FRCS notes with inline figures
Stiff knee gait
•Decrease knee flexion in terminal stance and throughout swing phase
•Problem: spastic rectus femoris firing out of phase
•Young <6 yr
•Botox and stretching
Management
Rectus to pes transfer:
•Peak knee flexion <50
•Peak knee flexion later than 30% of swing
•Active rectus in mid 3/5 of swing
•Toe dragging

