Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Improvement in ankle dorsiflexion
研究概览
简要总结
Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
详细描述
Despite the increasing use of percutaneous techniques, there is a lack of literature directly comparing the functional outcomes of these two procedures, PAT and TAL. Addressing this knowledge gap is essential to guide pediatric orthopedic surgeons in selecting the most appropriate intervention for the treatment of equinus deformity in neglected clubfoot patients, optimizing functional recovery, minimizing complications, and ultimately improving the quality of care for children with neglected clubfoot.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 2 Years 至 5 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Any gender
- •Aged 2-5 years
- •diagnosed with clubfoot
- •Pirani score 3-6
排除标准
- •Patients with other neuromuscular, chromosomal abnormalities
- •myelomeningocele
- •Dystrophic dysplasia
- •Moebius syndrome
- •Amniotic band syndrome
- •Metatarsus adductus
- •Syndactyly
- •Polydactyly
- •Previously underwent Achilles tendon tenotomy or tendo-Achilles lengthening
研究组 & 干预措施
Percutaneous Achilles Tendon Tenotomy-Group
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tenotomy of Achilles tendon technique.
干预措施: Tenotomy of Achilles Tendon (Procedure)
Tendo-Achilles Lengthening-Group
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tendo-Achilles Lengthening technique.
干预措施: Tendo-Achilles Lengthening (Procedure)
结局指标
主要结局
Improvement in ankle dorsiflexion
时间窗: 6 months
Frequency of patients with improvement in ankle dorsiflexion will be noted.
次要结局
- Bleeding(1 hour)
- Infection(6 months)
- Incomplete tenotomy(6 months)
研究者
Muhammad Aamir Latif
Research Consultant
RESnTEC, Institute of Research