Ultrasonographic assessment of regeneration of Achilles tendon post Ponseti tenotomy for equinus correction in infants

Dr. Digember Peepra; Dr. Manish Singh Rajpoot; Dr. A.P. Kushwah; Dr. H.S. Varma; Dr. Saurabh Khare; Dr. Ashish Sirsikar

Volume : V, Issue : IV, April - 2016

Ultrasonographic assessment of regeneration of Achilles tendon post Ponseti tenotomy for equinus correction in infants

Dr. Digember Peepra, Dr. Manish Singh Rajpoot, Dr. A. P. Kushwah, Dr. H. S. Varma, Dr. Saurabh Khare, Dr. Ashish Sirsikar

Abstract :

Background:– In Ponseti method Achilles tendon tenotomy is often needed to correct a residual equinus deformity. According to Ponseti Achilles tendon tenotomy creates a gap that heals, eventually leaving the tendon in continuity. They observed clinically that the continuity of the Achilles tendon is restored within three weeks. In our study we have studied the ultrasonographic changes during the healing process of Achilles tendon after post ponseti tenotomy for equines correction in infants. Material and methods:– This is an observational study in which those CTEV children in which Achilles tendon tenotomy was done in Ponseti method for the correction of equinus deformity. There were total 25 children with 34 clubfoot in them 9 were bilateral, 16 were unilateral. Out of which 11 were female and 14 were male. Achilles tendon tenotomy was performed after weekly serial casting. Results:– In our study, we have done serial ultrasonographic study of pre and post ponseti tenotomy of Achilles tendon for the correction of residual equinus deformity. We have provided ulrasonographic picture of tendon before tenotomy and after tenotomy and how the tendon heals back. Discussion:– Our finding of ultrasonography confirmed the restoration of continuity of tendoachilles in most of cases in three weeks. In our study we have provided objective evidence that a lesion that is still separated heals satisfactorily and that three week is sufficient for a post tenotomy cast.