• Users Online: 324
  • Print this page
  • Email this page
Year : 2018  |  Volume : 27  |  Issue : 2  |  Page : 163-167

Frequency of percutaneous achilles tenotomy in the treatment of idiopathic clubfoot using the ponseti method

Department of Orthopaedics and Traumatology, University of Calabar, Calabar -, Nigeria

Correspondence Address:
Chukwuemeka Okechukwu Anisi
Department of Orthopaedics and Traumatology, University of Calabar
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1115-2613.278775

Rights and Permissions

Background: Percutaneous Achilles tenotomy is an integral component of congenital clubfoot treatment using the Ponseti method. This study was designed to assess the frequency and outcome of percutaneous Achilles tenotomy in the conservative treatment of congenital clubfoot by the Ponseti method. Patients and methods: A prospective study of all congenital clubfoot patients between the ages of zero and two years who attended our clubfoot clinic between January, 2013 and December, 2017 was carried out. At presentation, each clubfoot was assessed clinically and scored using the Pirani scoring system, and treated using the Ponseti method. Percutaneous Achilles tenotomy was performed for feet with persistent equinus deformity. Statistical analysis of the distribution and associations of percutaneous Achilles tenotomy was done using IBM SPSS version 22 was done. Results: A total of 97 patients with 147 clubfeet were studied. The median total Pirani score (TPS), midfoot contracture score (MFCS) and hindfoot contracture score (HFCS) at presentation were 4.5, 2.5 and 2.5 respectively. Percutaneous Achilles tenotomy was performed on 97 (66.4%) feet belonging to 63 patients. Eighty five out of 108 feet with initial total Pirani score of 3.0 and above required percutaneous Achilles tenotomy to achieve correction (p < 0.001). Conclusion: Treatment of congenital clubfoot using the Ponseti method was associated with a tenotomy rate of 66.4%. High Pirani scores as well as increasing age at presentation were associated with the need for percutaneous Achilles tenotomy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal