Comparison of Surgical Blade No. 11 and Ophthalmic Knife in Idiopathic Clubfoot Patients

Muhammad Aamir Latif102 enrolled

Overview

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

Conditions

Clubfoot

Interventions

Surgical BladeDEVICE

Patients after serial casting and manipulation according to the Ponseti method went through tenotomy with surgical blade no. 11.

Ophthalmic KnifeDEVICE

Patients after serial casting and manipulation according to the Ponseti method went through tenotomy with ophthalmic knife.

Eligibility

Sex: ALLMin age: 2 YearsMax age: 5 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Any gender * Aged 2-5 years * Diagnosed with clubfoot Exclusion Criteria: * Children with other neuromuscular * Chromosomal abnormalities * Arthrogryposis multiplex congenita * Myelomeningocele * Dystrophic dysplasia * Moebius syndrome * Amniotic band syndrome * Metatarsus adductus * Syndactyly * Polydactyly

Locations (1)

Jinnah Postgraduate Medical Centre

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

Improvement in ankle dorsiflexion

Frequency of patients who had improved Pirani score was noted.

Time frame: 3 months after surgery

Secondary Outcomes

Bleeding

Frequencies of patients who had bleeding severity as none, mild, moderate, or excessive, were noted.

Time frame: 1 hour after surgery

Infection

The frequency of patients who had infected wound was noted.

Time frame: 3 months after surgery

Incomplete Tenotomy

Frequency of patients who had incomplete release or residual deformity was assessed.

Time frame: 3 months after surgery

Data from ClinicalTrials.gov

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