ULTRASONOGRAPHIC EVALUATION OF ACHILLES TENDON HEALING AFTER PERCUTANEOUS TENOTOMY DURING PONSETI MANAGEMENT OF CLUBFOOT

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Alexandria University

2 Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University

3 Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University

4 Orthopedic Surgery and Traumatology Department, Alexandria University

Abstract

Talipes equinovarus is a common idiopathic condition affecting about 1-6/1000 live birth totaling 100000 cases every year, 80% of them in developing countries. Clubfoot is characterized by ankle equinus, hindfoot varus, midfoot cavus and forefoot adduction.
Clubfoot management aims to achieve functional, painless, plantigrade and flexible foot. The most widely accepted method nowadays in conservative management of clubfoot is the method of casting described by Ponseti. This method was developed in response to the complications and poor outcomes which came with surgical management of clubfoot. It is widely accepted method that involves manipulation, serial casting, percutaneous Tendoachilles tenotomy and eventually abduction bracing to prevent recurrence.
In 90% of patients Tendoachilles tenotomy is needed to correct the residual hindfoot equinus and this is an important element of management that is associated with good outcome and prevention of relapse.

Aim:
The aim of the study was to assess tendon healing process after percutaneous Tendoachilles tenotomy during Ponseti management of clubfoot by the role of ultrasonography to determine the safety and effectiveness of the procedure.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 98-99

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