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A Prospective Study of Outcome of Percutaneous Needle Tenotomy for Tendo-achilles Release in Congenital Talipes Equino Varus
Sirsikar A,1 Kiradiya N2

Assistant Professor,1 Senior Resident2

1,2Department of Orthopaedics, Gajra Raja Medical College, Gwalior, MP, India

ABSTRACT
Aim

To study the outcome of percutaneous tenotomy of tendo-achilles using a wide bore needle in Congenital Talipes Equino Varus.

Background

Congenital Talipes Equino Varus is a commonly seen complex congenital foot deformity that can be treated conservative if the Ponseti technique is followed correctly. Percutaneous tenotomy of tendo-achilles forms an integral part of this technique.  

Material Methods

Forty nine feet were prospectively studied in thirty two patients, treated with the Ponseti technique between July 2011 and June 2013, out of which forty feet (81.6%) required percutaneous needle tenotomy of tendo-achilles.

Results

Out of these forty feet, thirty six (90%) feet were managed successfully, without any complication of excessive bleeding, pseudo-aneurysm formation or neuro-vascular compromise, which was reported with the conventional tenotomy by a knife.

Conclusion

Percutaneous tenotomy of tendo-achilles with a needle is a easy to learn, safe and effective method of tenotomy in Ponseti technique.

KEY WORDS
Congenital Talipes Equino Varus, Ponseti, Tendo-achilles, Tenotomy.

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