title: [Percutaneous tenotomy of achilles tendon in the treatment of congenital clubfeet--a preliminary report].
abstract: The authors present early results of conservative treatment in congenital clubfeet connected with the percutaneous tendon Achilles tenotomy in 10 children (16 feet). 9 feet were of type III and 7 of type IV according to the Dimeglio scale. Minimum follow up was 6 months, with an average follow up period of 10 months. All cut Achilles tendons regenerated completely. On follow up 9 feet were completely corrected, 5 presented with mild forefoot adduction and 2 feet required surgery because of recurrent equinovarus deformity. The authors claim that the percutaneous tendon Achilles tenotomy is a safe and valuable procedure which allows to avoid early surgery in 88% of clubfeet.
authors.affiliation: Oddział Ortopedyczno- Urazowy, Katedra Chirurgii Pediatrycznej Uniwersytetu Jagiellońskiego w Krakowie.
authors.forename: Bartłomiej
authors.initials: B
authors.lastname: Kowalczyk
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Lejman
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sułko
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Miklaszewski
mesh_terms: D000125:Achilles Tendon / Q000601:surgery*; D003025:Clubfoot / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D011044:Poland; D012189:Retrospective Studies; D055502:Secondary Prevention; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome