Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children
Introduction: Congenital talipes equinovarus (CTEV) is one of the most common deformities that affects the human foot and ankle, and Ponseti method of correction is universally accepted procedure. Most of the patients need a percutaneous tenotomy of tendo Achilles for residual equinus deformity. Var...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Journal of Surgical Specialties and Rural Practice |
| Subjects: | |
| Online Access: | http://www.jssrp.org/article.asp?issn=2772-3143;year=2023;volume=4;issue=2;spage=98;epage=101;aulast=Madhuchandra |
| _version_ | 1797645522128863232 |
|---|---|
| author | P Madhuchandra G Sunilsanthosh K P Raju |
| author_facet | P Madhuchandra G Sunilsanthosh K P Raju |
| author_sort | P Madhuchandra |
| collection | DOAJ |
| description | Introduction: Congenital talipes equinovarus (CTEV) is one of the most common deformities that affects the human foot and ankle, and Ponseti method of correction is universally accepted procedure. Most of the patients need a percutaneous tenotomy of tendo Achilles for residual equinus deformity. Various methods of tenotomy such as cataract knife, No. 11 blade, and 21-G needle are available. We studied the effectiveness of percutaneous needle tenotomy of the Achilles tendon in CTEV children for residual equinus deformity. Materials and Methods: Forty-three patients of serially manipulated and casted CTEV patients were subjected to a percutaneous needle tenotomy at our institute, followed by cast and orthosis. Tenotomy and regeneration were confirmed ultrasonologically and complete tenotomy was demonstrated by animal cadaver study. Results: All the patients were followed up regularly and an average of 25° of passive dorsiflexion was achieved at an average of 2-year follow-up. No cases of skin scarring, neurovascular compromise, stiffness, or cast complications were noted in our series. Conclusion: We conclude that percutaneous needle tenotomy for residual equinus deformity in a serially casted CTEV patient is a simple, effective, and safe method in giving a functionally and cosmetically good plantigrade foot. |
| first_indexed | 2024-03-11T14:47:25Z |
| format | Article |
| id | doaj.art-c5d333e5ef8149e7a00ecfa53efea7e6 |
| institution | Directory Open Access Journal |
| issn | 2772-3143 2772-3151 |
| language | English |
| last_indexed | 2024-03-11T14:47:25Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Surgical Specialties and Rural Practice |
| spelling | doaj.art-c5d333e5ef8149e7a00ecfa53efea7e62023-10-30T10:39:48ZengWolters Kluwer Medknow PublicationsJournal of Surgical Specialties and Rural Practice2772-31432772-31512023-01-01429810110.4103/jssrp.jssrp_15_23Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus childrenP MadhuchandraG SunilsanthoshK P RajuIntroduction: Congenital talipes equinovarus (CTEV) is one of the most common deformities that affects the human foot and ankle, and Ponseti method of correction is universally accepted procedure. Most of the patients need a percutaneous tenotomy of tendo Achilles for residual equinus deformity. Various methods of tenotomy such as cataract knife, No. 11 blade, and 21-G needle are available. We studied the effectiveness of percutaneous needle tenotomy of the Achilles tendon in CTEV children for residual equinus deformity. Materials and Methods: Forty-three patients of serially manipulated and casted CTEV patients were subjected to a percutaneous needle tenotomy at our institute, followed by cast and orthosis. Tenotomy and regeneration were confirmed ultrasonologically and complete tenotomy was demonstrated by animal cadaver study. Results: All the patients were followed up regularly and an average of 25° of passive dorsiflexion was achieved at an average of 2-year follow-up. No cases of skin scarring, neurovascular compromise, stiffness, or cast complications were noted in our series. Conclusion: We conclude that percutaneous needle tenotomy for residual equinus deformity in a serially casted CTEV patient is a simple, effective, and safe method in giving a functionally and cosmetically good plantigrade foot.http://www.jssrp.org/article.asp?issn=2772-3143;year=2023;volume=4;issue=2;spage=98;epage=101;aulast=Madhuchandracongenital talipes equinovaruspercutaneous needle tenotomyponseti method |
| spellingShingle | P Madhuchandra G Sunilsanthosh K P Raju Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children Journal of Surgical Specialties and Rural Practice congenital talipes equinovarus percutaneous needle tenotomy ponseti method |
| title | Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children |
| title_full | Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children |
| title_fullStr | Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children |
| title_full_unstemmed | Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children |
| title_short | Study on the effectiveness of percutaneous needle tendo Achilles tenotomy in congenital talipes equinovarus children |
| title_sort | study on the effectiveness of percutaneous needle tendo achilles tenotomy in congenital talipes equinovarus children |
| topic | congenital talipes equinovarus percutaneous needle tenotomy ponseti method |
| url | http://www.jssrp.org/article.asp?issn=2772-3143;year=2023;volume=4;issue=2;spage=98;epage=101;aulast=Madhuchandra |
| work_keys_str_mv | AT pmadhuchandra studyontheeffectivenessofpercutaneousneedletendoachillestenotomyincongenitaltalipesequinovaruschildren AT gsunilsanthosh studyontheeffectivenessofpercutaneousneedletendoachillestenotomyincongenitaltalipesequinovaruschildren AT kpraju studyontheeffectivenessofpercutaneousneedletendoachillestenotomyincongenitaltalipesequinovaruschildren |