Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
Despite the increasing use of percutaneous techniques, there is a lack of literature directly comparing the functional outcomes of these two procedures, PAT and TAL. Addressing this knowledge gap is essential to guide pediatric orthopedic surgeons in selecting the most appropriate intervention for the treatment of equinus deformity in neglected clubfoot patients, optimizing functional recovery, minimizing complications, and ultimately improving the quality of care for children with neglected clubfoot.
Study Type
OBSERVATIONAL
Enrollment
44
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tenotomy of Achilles tendon technique.
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the Tendo-Achilles Lengthening technique.
Jinnah Postgraduate Medical Centre
Karachi, Sindh, Pakistan
RECRUITINGImprovement in ankle dorsiflexion
Frequency of patients with improvement in ankle dorsiflexion will be noted.
Time frame: 6 months
Bleeding
Frequencies of bleeding as none, mild moderate, and severe will be noted.
Time frame: 1 hour
Infection
Frequency of patients who had an infected wound will be noted.
Time frame: 6 months
Incomplete tenotomy
Frequency of patients who will have incomplete release or residual deformity assessed after 6 months.
Time frame: 6 months
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