USE OF A LARGE GAUGE NEEDLE FOR PERCUTANEOUS SECTIONING OF THE ACHILLES TENDON IN CONGENITAL CLUBFOOT


Autoria(s): MARANHO, Daniel Augusto Carvalho; NOGUEIRA-BARBOSA, Marcello Henrique; SIMAO, Marcelo Novelino; VOLPON, Jose Batista
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

19/10/2012

19/10/2012

2010

Resumo

Objective: To evaluate the percutaneous Achilles tendon sectioning technique using a large gauge needle for the correction of residual equinus of congenital clubfoot treated with the Ponseti method. Methods: Fifty-seven Achilles tendon sections were prospectively evaluated in thirty-nine patients with clubfoot, treated with the Ponseti method between July 2005 and December 2008. The tenotomy was performed percutaneously with a large gauge needle. Ultrasound scan was performed immediately after the section, to ascertain whether the tenotomy was complete, as well as stump separation. Results: There was complete tendon section in all cases, but the need to perform the section maneuver more than once was common, due to the persistence of the residual strands between tendon stumps. The Thompson test and dynamic ultrasound evaluation were able to detect incomplete tenotomies. The mean ultrasound measurement of the tendon gap was 5.70 +/- 2.23 mm. Two patients had abnormal bleeding, which was controlled by digital pressure and did not compromise foot perfusion. Conclusion: Percutaneous Achilles tendon sectioning with a needle proved to be efficient and safe to correct residual equinus of clubfoot treated with the Ponseti technique.

FINEP (Fianciadora de Estudos e Projetos - Brazil)[01.05.0948.0]

Identificador

Acta Ortopédica Brasileira, v.18, n.5, p.271-276, 2010

1413-7852

http://producao.usp.br/handle/BDPI/24169

http://apps.isiknowledge.com/InboundService.do?Func=Frame&product=WOS&action=retrieve&SrcApp=EndNote&UT=000282843900006&Init=Yes&SrcAuth=ResearchSoft&mode=FullRecord

Idioma(s)

eng

Publicador

ATHA COMUNICACAO & EDITORA

Relação

Acta Ortopédica Brasileira

Direitos

closedAccess

Copyright ATHA COMUNICACAO & EDITORA

Palavras-Chave #Clubfoot/ultrasound #Achilles tendon #Foot deformities #POSTERIOR TIBIAL ARTERY #IDIOPATHIC CLUBFOOT #PONSETI METHOD #TALIPES EQUINOVARUS #FOLLOW-UP #FOOT #DEFORMITY #TENOTOMY #CLUBFEET #RELEASE #Orthopedics
Tipo

article

original article

publishedVersion