There is limited local data available on the comparison between surgical blade no.11 and ophthalmic knife among patients with neglected clubfoot going through tenotomy. The study has been planned with the objective of comparing the effectiveness of surgical blade no. 11 and ophthalmic knife for percutaneous Achilles tendon tenotomy in Idiopathic clubfoot patients
Percutaneous Achilles tendon tenotomy is performed using surgical blade no. 11. However, concerns regarding incision size, bleeding, and scarring have led to exploration of alternative instruments. Previously, comparative studies have been conducted on a 22-gauge needle vs. a surgical blade. However, an ophthalmic knife, designed for microsurgical precision, offers a fine tip and elongated handle, allowing improved control during tendon release with a small incision and precision. Previous studies have compared blade and needle techniques and ophthalmic knives for percutaneous tenotomy of the Achilles tendon done on animals. The study findings would be helpful in opting for a better instrument for the procedure that should be effective and have a better safety profile.
Study Type
OBSERVATIONAL
Enrollment
102
Patients after serial casting and manipulation according to the Ponseti method will go through tenotomy with surgical blade no. 11.
Patients after serial casting and manipulation according to the Ponseti method will go through tenotomy with ophthalmic knife.
Jinnah Postgraduate Medical Centre
Karachi, Sindh, Pakistan
COMPLETEDJinnah Postgraduate Medical Centre
Karachi, Sindh, Pakistan
RECRUITINGImprovement in ankle dorsiflexion
The frequency of patients will be noted who will have improved Pirani score.
Time frame: 3 months
Bleeding
The frequency of patients will be noted who will have bleeding severity as none, mild, moderate, or excessive.
Time frame: 1 hour
Infection
The frequency of patients will be noted who will have infected wound.
Time frame: 3 months
Incomplete Tenotomy
Frequency of patients who will have incomplete release or residual deformity assessed after 3
Time frame: 3 months
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