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 75
- Downloads 0
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....
Out Come of Kelafong Procedure in The Treatment of Spinal Tuber Culosis
Objective: To find the outcome of Kelafong procedure in the treatment of spinal tuberculosis Methods: This prospective study was conducted on 8 patients diagnosed with active spine tuberculosis in the Department of Or...
Comparison of 3 ml vs. 5 ml Local Injection of Lignocaine in Closed Reduction of Colles’ Fracture
Objective: To compare the efficacy of 3 ml vs. 5 ml lignocaine given locally in closed reduction of Colles’ fracture. Methods: Prospective randomized control trial was performed from July 2015 to December 2015. Patien...
Vitamin-D Deficiency: A Neglected Topic Alarms the Health Care Providers
Objective: To assess the vitamin D3 in the study population and to compare it in the male female gender. Methods: This observational study was conducted from November 2016 to April 2017. Total 200 patients were select...
Management of Femoral Bone Defect after Gunshot Injury using Circular External Fixator
Objectives: Retrospective evaluation of healing index (HI) and consolidation time (CT) of gunshot femoral bone loss managed using conventional Ilizarov frame (CIF) versus Talyar Spatial Frame (TSF) fixator. Methods: T...