Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.
Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.
Muhammad Aamir Latif
44 participants
Aug 15, 2025
OBSERVATIONAL
Conditions
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
Inclusion Criteria4
- Any gender
- Aged 2-5 years
- diagnosed with clubfoot
- Pirani score 3-6
Exclusion Criteria9
- Patients with other neuromuscular, chromosomal abnormalities
- myelomeningocele
- Dystrophic dysplasia
- Moebius syndrome
- Amniotic band syndrome
- Metatarsus adductus
- Syndactyly
- Polydactyly
- Previously underwent Achilles tendon tenotomy or tendo-Achilles lengthening
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Interventions
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.
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.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07561697