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Mini-Open Technique for the Achilles Tenotomy in Correction of Idiopathic Clubfoot

A Report of 25 Cases

^* Department of Orthopaedics and Traumatology, School of Medicine, Yuzuncu Yil University, Van, Turkey

Corresponding author: Ali Dogan, MD, Department of Orthopaedics, Medicine Faculty of Yuzuncu Yil University, Kazim Karabekir Str. 65100 Van / Turkey. (E-mail: alidogan67 @hotmail.com)

Abstract

Achilles tenotomy is performed for the residual equinus deformity in the Ponseti method of clubfoot treatment. In the present article, we describe a mini-open Achilles tenotomy technique to prevent complications that could occur during tenotomy. This technique was performed on 15 patients (25 feet) during a 3-year period in our clinic on patients whose equinus deformities could not have been corrected by manipulations. Clear improvement (mean angle, 30°) was observed in equinus in our patients, and we have not seen any complication in this method. We conclude that direct visualizing of the tendon with mini-open incision may reduce the risk of neurovascular injury, especially for surgeons who are not experienced. (J Am Podiatr Med Assoc 98(5): 414–417, 2008)