Sedation protocols for Ponseti clubfoot Achilles tenotomy

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Predictive factors for residual equinovarus deformity following Ponseti treatment and percutaneous Achilles tenotomy for idiopathic clubfoot

BACKGROUND AND PURPOSE There is no consensus on how to predict residual equinovarus deformities after application of the Ponseti method. We assessed the prognostic value of clinical scoring systems, and also radiographic parameters that can be measured just before percutaneous Achilles tenotomy (PAT). METHOD We reviewed 50 cases of clubfoot in 35 patients who were treated using the Ponseti me...

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‘Fast cast’ and ‘needle Tenotomy’ protocols with the Ponseti method to improve clubfoot management in Bangladesh

Background The management of congenital talipes equino varus (clubfoot deformity) has been transformed in the last 20 years as surgical correction has been replaced by the non-surgical Ponseti method. The Ponseti method, consists of corrective serial casting followed by maintenance bracing, and has been repeatedly demonstrated to give best results - regarded as the 'gold standard' treatment for...

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A prospective cohort study on comparison of early outcome of classical Ponseti and modified Ponseti post tenotomy in clubfoot management

Introduction Ponseti method has become the main treatment modality for the management of clubfoot producing good long-term results. However, variation in cast application post tenotomy has not been evaluated. Methods A prospective cohort study involving 40 patients with 67 clubfeet were randomized into two groups: 32 above knee cast (AKC) and 35 below knee cast (BKC) after percutaneous tenoto...

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A mini-open technique for Achilles tenotomy in infants with clubfoot

PURPOSE A tendoachilles lengthening (TAL) is indicated in over 85 % of cases treated with the Ponseti technique. A percutaneous TAL is often performed in the clinic. Reported complications from a TAL performed in the clinic include: bleeding due to injury to the peroneal artery, posterior tibial artery, or lesser saphenous vein; injury to the tibial or sural nerves; and incomplete release. The ...

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Higher Rates of Achilles Tenotomy after a Didactic Session on Ponseti Method

We have conducted a retrospective study to know the impact of a didactic sitting on the Ponseti method of clubfoot management. We have compared the outcome of patients managed by orthopaedic residents who attended such a session with that of patients treated by residents who didn’t get this additional training. The results revealed that the frequency of PTA tenotomy was significantly higher in ...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2007

ISSN: 1863-2521,1863-2548

DOI: 10.1007/s11832-007-0059-8