title: The posterior to anterior controlled technique of percutaneous Achilles tenotomy in the correction of idiopathic clubfoot: a technical report.
abstract: Percutaneous tenotomy of the Achilles tendon is an integral part of the Ponseti technique of clubfoot correction. Although originally described by Ponseti as an office procedure that was performed under local anaesthesia, serious neurovascular complications that include iatrogenic injury to the lesser saphenous vein, the posterior tibial neurovascular bundle, the sural artery and pseudoaneurysm formation have been reported. We describe a new tenotomy technique, the posterior to anterior controlled technique, that may decrease the possibility of neurovascular damage, does not require exposure of the Achilles tendon and can be performed as an office procedure under local anaesthesia.
authors: Department of Orthopaedic Surgery, Government Medical College & Associated Hospitals, Jammu, India. sids82@gmail.com
authors: Siddhartha
authors: S
authors: Sharma
authors: Mohammad F
authors: MF
authors: Butt
authors: Manjeet
authors: M
authors: Singh
authors: Sudesh
authors: S
authors: Sharma
mesh_terms: D000125:Achilles Tendon / Q000601:surgery*; D000556:Ambulatory Surgical Procedures / Q000379:methods; D000772:Anesthesia, Local / Q000379:methods; D002370:Casts, Surgical; D003025:Clubfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D061646:Operative Time; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D016683:Supine Position; D058971:Tenotomy / Q000379:methods*; D016896:Treatment Outcome