Analytical radiography of clubfoot after tenotomy.
The study was undertaken to determine the radiographic impact of the tenotomy after the Ponseti method. We report a retrospective and prospective radiographic analysis of 37 clubfeet after the Achilles tenotomy. The talocalcaneal angle was measured on lateral and anteroposterior views; the tibiotalar and the tibiocalcaneal angles were evaluated on the lateral view. The mean age at the time the last radiographic analysis was performed was 19 months (range, 13-35 months). Both studies have the same conclusion: the Achilles tenotomy decreases the lateral tibiocalcaneal angle and increases the lateral talocalcaneal angle. Furthermore, the tenotomy effect tends to diminish with time.


METHODS
therapeutic study, level IV.
de Gheldere
Antoine
A
Department of Orthopaedic Surgery, Saint-Luc University Hospital, Université catholique de Louvain, 10, avenue Hippocrate, B-1200 Brussels, Belgium. digheldria@gmail.com
Docquier
Pierre-Louis
PL
D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000601:surgery*; D002370:Casts, Surgical; D002675:Child, Preschool; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011446:Prospective Studies; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome