COMPARISON OF PERCUTANEOUS TENOTOMY TECHNIQUES FOR CORRECTION OF EQUINUS DEFORMITY IN CONGENITAL TALIPES EQUINO VARUS (CTEV) IN CHILDREN: A RANDOMIZED CLINICAL TRIAL

Abstract

Tendo-achillies tenotomy is required as last step of ponseti method of treatment of Congenital Talipes Equino Varus (CTEV). By this study we compared the two methods of percutaneous tenotomy for correction of equinus deformity in congenital talipes equino varus (ctev) in children. METHODS: It is a prospective randomized clinical study, conducted during the period of November. 2012 to April 2015 at the Department of orthopedics in the tertiary level hospital. RESULTS: Total fifty five CTEV feet were treated. Twenty seven feet were of blade tenotomy variety and twenty eight feet were of needle tenotomy variety. In this study mean pre-treatment Pirani score was 5.62 vs 5.58 in blade and needle tenotomy group respectively. Out of 57 feet 56 were managed successfully. One patients of needle tenotomy variety developed relapse of the deformity due to poor and faulty application of D-B Splint. Author do not find any significant difference between the two methods of percutaneous tenotomy. CONCLUSION: In the treatment of equines deformity of CTEV, the percutaneous needle tenotomy technique is a simple, excellent, minimally invasive, effective, less expensive, takes less time and which is possible without general anesthesia even in neonates.