Effect of percutaneous and open tenotomy on continuity of tendoachillis in relapsed clubfoot
Zagazig univ. med. j
; 25(3): 278-284, 2019. ilus
Article
in En
| AIM
| ID: biblio-1273848
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ABSTRACT
Background:
Tenotomy of tendon Achilles is one of the major components of Ponseti method and necessary to complete correction in about 80 to 90 % of patients, it is safely procedure can be done in outpatient office as percutaneous technique under local anesthesia or in operative room under general anesthesia as mini-open technique. This study was designed to evaluate effect of tendoachillis tenotomy either percutaneous or open on continuity of tendoachillis by open evaluation in relapsed club foot. Patient &method:
This study was conducted on 18 individuals. They were divided into 2 equal groups Group I containing 9 patients both sex had previously percutaneous tenotomy is done and Group II 9 patients both sex had previously open tenotomy is done.Results:
percutaneous technique found easy dissection in 6 patients (66.7%) and difficult dissection in 3 patients (33.3%) and continuity found central and regular contour in 7 patients (77.8%) and fibrotic mass in 2 patients (22.2%), open technique found easy dissection in 5 patients (55.6%) and difficult dissection in 4 patients (44.4%) and continuity found central and regular contour in 5 patients (55.6%) and fibrotic mass in 4 patients (44.4%),Conclusion:
the techniques tenotomy of tendoachillis had no effect on continuity of tendoachillis either open or closed techniques in management of club foot
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Index:
AIM
Main subject:
Achilles Tendon
/
Clubfoot
/
Minimally Invasive Surgical Procedures
/
Egypt
/
Tenotomy
Country/Region as subject:
Africa
Language:
En
Journal:
Zagazig univ. med. j
Year:
2019
Type:
Article