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 49
- Downloads 0
Pattern of Injuries in Motorbike Accidents
Objective: To determine the different pattern of injuries and their frequency in motor bike accidents Methods: This Case series study was conducted at Department of Orthopedics, Jinnah Post Graduate Medical Centre(JPM...
Comparison of Dynamic Hip Screw and Proximal Femoral Nail in Intertrochanteric Femur Fractures.
Objective: To compare the radiological and functional outcome of stable intertrochanteric femur fractures treated with Dynamic Hip Screw(DHS) and Proximal Femoral Nail(PFN). Methods: This randomized controlled trial w...
Comparison of Limb Salvage with Mega Prosthesis Versus Auto Graft Reconstruction after Cryotherapy in Adolescent Patients with Limb Sarcomas
Objective: To compare the functional outcome of limb salvage in adolescent limb sarcomas treated with Mega Prosthesis Versus Auto Graft Reconstruction as assessed with Musculoskeletal Tumor Society(MSTS) rating Scale....
Functional and Radiological Outcome of Longer Lever Arm Plates with Minimally Invasive Plate Osteosynthesis (MIPO) in AO Type C Distal Femoral Fracture
Objective: To evaluate the treatment outcome in AO type C, distal femoral fractures using longer lever arm anatomical plates with minimally invasive plate osteosynthesis (MIPO) technique. Methods: This prospective cas...
Custom-Made Antibiotic Cement-Coated Nails for The Treatment of Infected Nonunion in Femur
Evaluation of antibiotic cement impregnated nailing in the management of infected non-union of femur. Methods: The prospective study was made on 19 cases of infected non-union of femur from 2014 to 2015 Evaluation of...