EFFECT OF PERCUTANEOUS AND OPEN TENOTOMY ON CONTINUITY OF TENDOACHILLIS IN RELAPSED CLUBFOOT

Document Type : Original Article

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Abstract

Background: Tenotomy of tendon Achilles is one of the major
components of Ponseti method and necessary to complete correction in
about 80 to 90 % of patients, it is safely procedure can be done in
outpatient office as percutaneous technique under local anesthesia or in
operative room under general anesthesia as mini-open technique. This
study was designed to evaluate effect of tendoachillis tenotomy either
percutaneous or open on continuity of tendoachillis by open evaluation in relapsed club foot. Patient & method: This study was conducted on 18 individuals. They
were divided into 2 equal groups: Group I: containing 9 patients both sex
had previously percutaneous tenotomy is done and Group II: 9 patients
both sex had previously open tenotomy is done.
Results: percutaneous technique found easy dissection in 6 patients
(66.7%) and difficult dissection in 3 patients (33.3%) and continuity
found central and regular contour in 7 patients (77.8%) and fibrotic mass
in 2 patients (22.2%), open technique found easy dissection in 5 patients
(55.6%) and difficult dissection in 4 patients (44.4%) and continuity
found central and regular contour in 5 patients (55.6%) and fibrotic mass
in 4 patients (44.4%), Conclusion: the techniques tenotomy of tendoachillis had no effect on
continuity of tendoachillis either open or closed techniques in
management of club foot.

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