Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Observational
SUMMARY
Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 5
Healthy Volunteers: f
View:
• Any gender
• Aged 2-5 years
• diagnosed with clubfoot
• Pirani score 3-6
Locations
Other Locations
Pakistan
Jinnah Postgraduate Medical Centre
RECRUITING
Karachi
Contact Information
Primary
Pervez Ali, FCPS
pervez73@hotmail.com
+923333001737
Backup
Sidratul Zaitoon
sidra9503@gmail.com
+923150012163
Time Frame
Start Date: 2025-08-15
Estimated Completion Date: 2026-04-30
Participants
Target number of participants: 44
Treatments
Percutaneous Achilles Tendon Tenotomy-Group
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tenotomy of Achilles tendon technique.
Tendo-Achilles Lengthening-Group
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tendo-Achilles Lengthening technique.
Sponsors
Leads: Muhammad Aamir Latif