Vol. 3, Issue 4 (2017)

Percutaneous tenotomy of the Achilles tendon using a 16 gauge needle in the management of clubfoot

Author(s):

Dr. Shreyas Alva, Dr. Deepak MK, Dr. Neelangowda VP Patil, Dr. Vinay HP

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.

Pages: 776-779  |  2373 Views  337 Downloads

How to cite this article:
Dr. Shreyas Alva, Dr. Deepak MK, Dr. Neelangowda VP Patil, Dr. Vinay HP. Percutaneous tenotomy of the Achilles tendon using a 16 gauge needle in the management of clubfoot. Int. J. Orthop. Sci. 2017;3(4):776-779. DOI: 10.22271/ortho.2017.v3.i4k.108