Percutaneous needle tenotomy for Ponseti technique in the management of Congenital Talipes Equinovarus (CTEV)

Rahman, Mohammad Shahriar; Alam, Khorshed; Shahiduzzaman,; Rahman, Arebia

doi:10.3329/jdmc.v23i1.22695

Cited by 10 publications

(14 citation statements)

References 21 publications

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“…Infection rate was found nil, whereas difficult procedure was observed in 5.71% of all cases. 22 In a study of Maranho DAC et al abnormal bleeding was found as the major complication (2 cases out of 57 cases) in cases of needle tenotomy, whereas in another study,15 difficult procedure was observed as the major problem (4 out of 70 cases). 12 In most of the study, complications are claimed as nil with needle tenotomy.…”

Section: Discussionmentioning

confidence: 90%

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Comparison of the outcome of management of congenital idiopathic clubfoot treated by ponseti method with modified technique

Newaz

Sikder

Faruquzzaman

2020

Bangladesh med. j. Khulna

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Section: Discussionmentioning

confidence: 90%

“…18 Thereafter, similar studies were published by different authors describing this modified technique. [19][20][21][22] In literature review, different studies have been found regarding the complications of percutaneous needle tenotomy. [11][12][13][14][15] But in this study, no major complication has been documented.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the outcome of management of congenital idiopathic clubfoot treated by ponseti method with modified technique

Newaz

Sikder

Faruquzzaman

2020

Bangladesh med. j. Khulna

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“…Evans et al also observed only minor bleeding complications in 11 out of 425 that were controlled with pressure over the wound [10]. Rahman et al also observed similar complications in nine out of 70 club feet [11]. Interestingly, the ankle dorsiflexion improved significantly after a one-year follow-up.…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of Needle Tenotomy for Correction of Equinus in Clubfoot

Sharma¹,

Kumar²,

Sinha³

et al. 2022

Cureus

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Introduction: During the COVID-19 surge, due to a lack of operating room availability, we performed Achilles tendon tenotomy in clubfoot patients using a 16/18 gauge needle to avoid delay in their management. The procedures were performed on an outpatient basis. The current retrospective study aims to investigate the effectiveness of needle tenotomy for the correction of equinus in clubfoot at a minimum of one year of follow-up.Methods: Clinical records of all clubfoot patients that underwent needle tenotomy of Achilles tendon from March 2020 onwards with at least one year of follow-up were reviewed. We recorded Pirani scores and the equinus deformity at the initial presentation, after Achilles tendon tenotomy, and at the final follow-up. We also recorded any procedure-related complications following the Achilles tendon tenotomy. We compared dorsiflexion after final cast removal and after one year of follow-up.Results: A total of 26 clubfeet in 14 patients underwent needle tenotomy of the Achilles tendon and completed one year of follow-up. Ankle dorsiflexion was achievable in all patients and the mean dorsiflexion of 27.4 degrees. The average Pirani score after tenotomy at final cast removal was 0.16, while the mean dorsiflexion at final cast removal was 24.2 degrees (p = .00084). No tenotomy procedure-related complications were noted.Conclusion: Percutaneous needle tenotomy of the Achilles tendon is a simple, safe, and effective technique for equinus correction in clubfoot. Considering the less invasive nature of the procedure, it can be done as a short procedure on an outpatient basis and has a limited risk of hemorrhage and other wound-related complications.

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“…The final 49 studies had a full-text review and only two were included in the final review. Six studies were identified through reference searches and included in the review, for a total of eight studies [12][13][14][15][16][17][18]21]. Seven studies were prospective cohort studies, and one study was an RCT.…”

Section: Systematic Review Findingsmentioning

confidence: 99%

“…Minokowitz et al were the first to describe Achilles tendon needle tenotomy in the literature with the use of a large bore needle as an alternative to a scalpel which is cost-effective, less disruptive for the family, and more comfortable for the child [11]. Although this technique has been reported in a number of literature, most of them have been conducted in Asian countries with no study or case series has been conducted in the United Kingdom [12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Single Center Experience With Percutaneous Needle Tenotomy in Congenital Talipes Equinovarus (CTEV)

Dhingra¹,

Bak²,

Edokpayi³

et al. 2022

Cureus

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Percutaneous scalpel tenotomy is frequently performed as part of congenital talipes equinovarus (CTEV) to correct the equinus deformity. The use of a scalpel is associated with complications such as neurovascular bundle damage and pseudoaneurysms. In the literature, a percutaneous large-bore needle has been found to be a safer alternative to a scalpel for performing tenotomies. The goal of this study was to conduct a systematic review and report a single-center case series on the use of percutaneous needle tenotomy in the treatment of CTEV.A Preferred Reporting Items of Systematic Review and Meta-analysis (PRISMA)-compliant literature search was conducted to identify studies describing the use of a percutaneous needle tenotomy in the treatment of idiopathic CTEV. A retrospective case series of patients with idiopathic CTEV treated with percutaneous needle tenotomy over a seven-year period from a single center were also conducted. The patients' demographics, the location of the clubfoot, and the Pirani score were all recorded. An analysis of descriptive statistics was carried out. Continuous data were expressed as mean and SD, whereas categorical variables were expressed as absolute numbers and percentages (%).The systematic review included eight papers with a total of 1026 feet and a mean age of 10.4 weeks (SD 5.9). There were 47 (0.04%) complications across all studies, with a pooled success rate of 95%. Eleven patients (16 feet) were included in the single-center case study. The patients' initial Pirani score was 4.8 (SD 1.5), with a final score of 0. (SD 0). Four complications occurred in the patient's cohort -one minor bleeding and three recurrences as a result of poor compliance with the post-tenotomy foot abduction brace. In conclusion, the percutaneous Achilles tenotomy of a CTEV foot with a large bore needle is a safe and effective alternative.

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Percutaneous needle tenotomy for Ponseti technique in the management of Congenital Talipes Equinovarus (CTEV)

Abstract: Abstract

Cited by 10 publications

References 21 publications

Comparison of the outcome of management of congenital idiopathic clubfoot treated by ponseti method with modified technique

Comparison of the outcome of management of congenital idiopathic clubfoot treated by ponseti method with modified technique

Effectiveness of Needle Tenotomy for Correction of Equinus in Clubfoot

A Systematic Review and Single Center Experience With Percutaneous Needle Tenotomy in Congenital Talipes Equinovarus (CTEV)

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