Repeatable tendo-achilles tenotomy in the treatment for congenital club-foot
- VernacularTitle:可重复性经皮跟腱松解法治疗先天性马蹄内翻足畸形
- Author:
Jiazhi HONG
1
;
Chenwei LV
;
Zhiqiang ZHUANG
;
Weidong LIN
;
Qingsheng HUANG
;
Honghui SHEN
Author Information
1. 福建中医药大学附属漳州市中医院骨伤科
- Keywords:
Clubfoot;
Ponseti approach;
Tendo-achilles;
Orthopedic
- From:
China Modern Doctor
2015;(16):65-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment of repeatable tendo-achilles tenotomy in Ponseti approach for congenital clubfoot. Methods Retrospective analysis of 117 patients (137 feet) with congenital clubfoot treated with serial casting in Ponseti approach from March 2008 to June 2014. A repeatable tendo-achilles tenotomy was performed on 102 pa-tients (116 feet) (84.67%) when less than 15o of ankle dorsiflexion and 70oof foot abduction. The foot-abduction brace was used postoperatively and follow-up termly. Results All of 117 patients were follow-up for 3 to 48 months, averag-ing 26.3 months. The results of 112 (131 feet) (91.97%) were satisfactory. The tendo-achilles tenotomy was performed averaged 1.4 times in the patients taken surgery. The tendon performed tenotomy were all connected and patients walk with normal gait later. Conclusion The results of the treatment of repeatable tendo-achilles tenotomy for congenital clubfoot ware satisfactory. This surgery performed in Ponseti approach will always achieve a successful result.
