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30723

EFFECT OF PERCUTANEOUS AND OPEN TENOTOMY ON CONTINUITY OF TENDOACHILLIS IN RELAPSED CLUBFOOT

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Last updated: 22 Jan 2023

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Abstract

Background: Tenotomy of tendon Achilles is one of the major
components of Ponseti method and necessary to complete correction in
about 80 to 90 % of patients, it is safely procedure can be done in
outpatient office as percutaneous technique under local anesthesia or in
operative room under general anesthesia as mini-open technique. This
study was designed to evaluate effect of tendoachillis tenotomy either
percutaneous or open on continuity of tendoachillis by open evaluation in relapsed club foot. Patient & method: This study was conducted on 18 individuals. They
were divided into 2 equal groups: Group I: containing 9 patients both sex
had previously percutaneous tenotomy is done and Group II: 9 patients
both sex had previously open tenotomy is done.
Results: percutaneous technique found easy dissection in 6 patients
(66.7%) and difficult dissection in 3 patients (33.3%) and continuity
found central and regular contour in 7 patients (77.8%) and fibrotic mass
in 2 patients (22.2%), open technique found easy dissection in 5 patients
(55.6%) and difficult dissection in 4 patients (44.4%) and continuity
found central and regular contour in 5 patients (55.6%) and fibrotic mass
in 4 patients (44.4%), Conclusion: the techniques tenotomy of tendoachillis had no effect on
continuity of tendoachillis either open or closed techniques in
management of club foot.

DOI

10.21608/ZUMJ.2019.7004.1011

Keywords

clubfoot, tenotomy, tendon Achilles, Ponseti method

Authors

First Name

Khairy

Last Name

H.M

MiddleName

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Orcid

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First Name

Elzohairy

Last Name

M.M

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

El-aidy

Last Name

S.M

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Nusayr

Last Name

A.N

MiddleName

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Orcid

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Volume

25

Article Issue

3

Related Issue

5283

Issue Date

2019-05-01

Receive Date

2019-01-03

Publish Date

2019-05-01

Page Start

278

Page End

284

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_30723.html

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https://zumj.journals.ekb.eg/service?article_code=30723

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Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023