Frequency of Achilles Tenotomy in Patients with Congenital Talipes Equinovarus (CTEV) Treated with Ponseti Technique.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 03
Abstract
Objective: To determine the frequency of Achilles tenotomy in patients with Congenital Talipes Equinovarus (CTEV) treated with Ponseti serial castings. Methods: This descriptive study was conducted in department of Orthopedic Surgery Khyber Teaching Hospital Peshawar from 12th September 2019 to 12th December 2020. All children of CTEV who were treated with Ponseti serial castings and fulfilled our inclusion criteria were enrolled in this study. Achilles tenotomy was performed at the end of casting in those children who had corrected cavus, varus with head of talus covered and with Pirani Equinus score of 1 or 0.5. The frequency of tenotomy was noted. Important variables of children with tenotomy were stratified and post stratification Chi-square test was applied to calculate P value. P value< 0.05 was considered significant. Results: We treated 86 feet in 69 children with Ponsti serial castings. Majority (75.36%,n=52) of children had unilateral club foot deformity while 17(24.63%) had bilateral deformity. Male children were 41(59.42%) while 28(40.57%). The mean age at the time of Achilles tenotomy was 10.3+0.28 weeks. The initial Pirani score was 3+0.74 and final Pirani score was 1+0.74. Correction was achieved in 5+0.84 castings. Achilles tenotomy was done in 57 (66.27%) feet to correct the equinus deformity before application of final cast. Conclusion: The frequency of Achilles tenotomy after Ponesti serial casting was high as more than half our children had persistent equinus deformity.
Authors and Affiliations
Nadeem ur Rehman1, Basit Hussain2, Hassan Janan3, Junaid Zeb4, Sajawal Khan5, Abdullah6
Keywords
Related Articles
- EP ID EP741325
- DOI -
- Views 41
- Downloads 0
Isolated dislocation of the Fifth Carpometacarpal Joint: A Case Report.
Isolated Carpometacarpal (CMC) joints dislocations is an extremely uncommon injury. It is often missed in polytrauma patient. It can be associated with ulnar nerve damage and detailed neurologic assessment is often warra...
COVID-19 Pandemic “Challenges to Overcome”
COVID-19 was first reported in Wuhan, China on 17th November 2019 and since then it has affected 2,76,15,676 people worldwide, with 8,98,426 deaths.1 WHO declared COVID-19 as a public health emergency on 30th Jan 2020 an...
Clubfoot and the Ponseti Method in 2021.
More than one hundred thousand children are born each year with congenital clubfoot, or talipes equinovarus, mostly in low and middle-income countries (LMIC) where there are often deficiencies in access to health service...
Cost Effective Management of Open fractures shaft of femur in a Tertiary Care Hospital using Ilizarov fixator.
Objective: To determine the functional and radiological outcomes of Ilizarov fixator in managing open fractures shaft of femur. Methods: This descriptive study was conducted in Orthopaedic department Aga khan Universi...
Cerebral Palsy is not a choice, but acceptance is
Cerebral Palsy (CP) is caused by a non-progressive lesion to an immature brain and results in different types of neurological problems including spasticity, motor weakness, poor coordination, dystonia and ataxia. Spastic...