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Case Reports
. 2012 Jan-Mar;2(1):35-6.

Prcutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot - Technical Note

Sandeep Patwardhan  1 , Ashok Shyam  2 , Parag Sancheti  1
Affiliations
Case Reports

Prcutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot - Technical Note

Sandeep Patwardhan et al. J Orthop Case Rep. 2012 Jan-Mar.

Abstract

Tendo-achillis tenotomy is required as last step of ponseti method of treatment of Congenital Talipes Equino Varus (CTEV). This technical note describes a simple method of doing a percutaneous tenotomy of tendo-achillis using a wide bore needle. This is a simple method and easy to learn and gives predictable results.

Keywords: Clubfoot; Congenital Talipes Equino Varus; percutaneous needle tenotomy; tendo-achillis.

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Conflict of interest statement

Conflict of Interest : NONE

Figures

Figure 1
Figure 1
Technique of percutaneous needle tenotomy of Tendo-achillis. Preprocedure ankle plantar flexion and dorsiflexion where tendo-achillis tightness can be felt (A,B). 16 Gauge needle is inserted from the medial side of tendo-achillis about a finger breadth proximal to the insertion (C). Tenotomy is completed by cutting through the tendon while a constant dorsiflexion force is applied to the foot (D). A release is felt when tenotomy is completed and needle is removed. Post-procedure ankle movements are much improved as compared to the preprocedure movements (E,F)
See this image and copyright information in PMC

References

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    1. Minkowitz B, Finkelstein BI, Bleicher M. Percutaneous tendo-Achilles lengthening with a large-gauge needle: a modification of the Ponseti technique for correction of idiopathic clubfoot. J Foot Ankle Surg. 2004 Jul-Aug;43(4):263–5. - PubMed
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