Percutaneous tenotomy of the Achilles tendon using a 16 gauge needle in the management of clubfoot
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Objective: To clinically evaluate, the effectiveness of percutaneous tenotomy of Achilles tendon using a 16 gauge needle in clubfoot treatment by ponseti technique. Material and methods: Forty five affected foot were prospectively evaluated in Twenty five patients with ctev attending orthopedics OPD in K R Hospital, Mysore and treated conservatively using ponseti technique between June 2016 and November 2017.out of forty five affected feet,thirty nine feet required tenotomy and percutaneous tenotomy done using a 16 gauge needle and assessed clinically. Results: All 39 feet successfully managed, the reported complications of conventional tenotomy by knife [excessive bleeding, pseudo-aneurysm or neurovascular compromise] were not encountered with this technique. Conclusion: This percutaneous tenotomy technique using a 16 needle is a simple procedure, safe and very effective and gives predictable results without any complications which were reported with tenotomy by knife.
Authors and Affiliations
Dr. Shreyas Alva, Dr. Deepak MK, Dr. Neelangowda VP Patil, Dr. Vinay HP
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