Muhammad Khalid Khan, Samir Khan Kabir, Javed Iqbal, Zaffar Durrani.
Frequency of Achilles? Tenotomy in Club Foot treated by Ponseti Method.
Ophthalmol Update Jan ;12(1):72-4.

Objectives: To determine the frequency of Achilles? tendon tenotomy in Ponseti technique for idiopathic clubfoot. Club foot is one of the most common congenital deformities affecting about one infant in every 750 births. Some equinovarus deformity after Ponseti technique application requires Achilles? tenotomy and tenotomy of the Achilles tendon is an integral part of the Ponseti technique of clubfoot correction. Study Design: This study was conducted on 70 patients with club foot deformity from September 2009 to 2010. Patient?s foot was scored according to pirani scoring system and then Ponseti protocol of manipulation and casting was followed. This process continued weekly up to fourth cast and at fifth visit, the uncorrected equinovarus was corrected by percutaneous Achilles? tenotomy under local anaesthesia cast applied for three weeks. Improvement in the score was noted. Data was analyzed by SPSS version 10.0. Results: There were 43 (61.4%) males and 27 (38.6%) females. Achilles? tenotomy was done in 43(61.4%) patients for the correction of equinovarus. Achilles? tenotomy was done in 30 (69.77%) males and 13 (30.23%) females. Tenotomy in the age group of 5-8 months was 29 (67.44%) and in the age group of 1-4months was 14(32.56%). There were 27 (38.57%) and 43 (61.43%) patients with bilateral and unilateral CTEV patients respectively and tenotomy was done in 15 (34.88%) and 28 (65.11%) patients in bilateral and unilateral CTEV patients respectively. Conclusion: Achilles? tenotomy is quite common in our set up while treating patients with CTEV up to 8 months of age by Ponseti technique of manipulation and serial casting.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com