title: Mini-open technique for the achilles tenotomy in correction of idiopathic clubfoot: a report of 25 cases.
abstract: Achilles tenotomy is performed for the residual equinus deformity in the Ponseti method of clubfoot treatment. In the present article, we describe a mini-open Achilles tenotomy technique to prevent complications that could occur during tenotomy. This technique was performed on 15 patients (25 feet) during a 3-year period in our clinic on patients whose equinus deformities could not have been corrected by manipulations. Clear improvement (mean angle, 30 degrees ) was observed in equinus in our patients, and we have not seen any complication in this method. We conclude that direct visualizing of the tendon with mini-open incision may reduce the risk of neurovascular injury, especially for surgeons who are not experienced.
authors.affiliation: Department of Orthopaedics and Traumatology, School of Medicine, Yuzuncu Yil University, Van, Turkey. alidogan67@hotmail.com
authors.forename: Ali
authors.initials: A
authors.lastname: Dogan
authors.forename: Ali Murat
authors.initials: AM
authors.lastname: Kalender
authors.forename: Ebubekir
authors.initials: E
authors.lastname: Seramet
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uslu
authors.forename: Ahmet
authors.initials: A
authors.lastname: Sebik
mesh_terms: D000125:Achilles Tendon / Q000601:surgery*; D003025:Clubfoot / Q000601:surgery*; D015331:Cohort Studies; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D012189:Retrospective Studies