Common complaints in individuals with PPS include gait disturbances, cosmesis, difficulty in performing daily activities, quadriceps pain, and quick fatiguing. Mobility of the individual is affected due to crouch gait, which varies depending on the severity of contracture and arc of motion in the nonfunctional range. Many patients are wheelchair bound for locomotion, if it affects both lower limbs with severe magnitude.

Constant presence of ptergyia in PPS requires orthopedic management. At the Paley Institute, our approach to managing this condition is by extensive soft tissue release, application of an external fixation device followed by casting and prolonged bracing. Our aim is to make the patient independent and ambulatory, and also to minimize the recurrence and thereby minimizing revision surgeries without causing damage to the neurological and joint structures.