PERCUTANEOUS TENOTOMY USING A NEEDLE IN THE OPD FOR THE MANAGEMENT OF CLUB FOOT

Dr. Ajay Dhanopeya, Dr. H. S. Varma and Dr. Ashok Vidyarthi*

ABSTRACT

Objective: To clinically evaluate, the effectiveness of percutaneous tenotomy of Achilles tendon using a 16 gauge needle in clubfoot treatment by ponseti technique. Material and methods: In orthopaedics OPD of Neta Ji subhash Chandra boss medical college Jabalpur, percutaneous needle tenotomy was done in 45 feet of 32 patients. from august 2017 to fab 2018 by the same orthopedic surgeons for the management of CTEV by Ponseti techniquepercutaneous tenotomy done using a 16 gauge needle and assessed clinically. Results: in our study out of 45 feets, all 40 feets corrected by this method and 5 feet out of 45 feet had some complications in context to the Tenotomy. Among these, 2 feet had procedural difficulties due to aberrant flattening of tendo Achilles. In 2 patients, there was minor bleeding from the vessel. Conclusion: This percutaneous tenotomy technique using a 16 G needle is a simple procedure, safe and very effective and gives predictable results without any complications which were reported with tenotomy by knife.

Keywords: Percutaneous tenotomy, Achilles tendon, 16 gauge needle, management, clubfoot.