Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: TENDOACHILLIS SURGICAL TENOTOMY: Percutaneous needle tenotomy technique utilizes a 11 number blade to perform release of Achilles tendon without suturing and the patient may get the foo
during sleeping or resting once the
child was weight bearing
and then beyond 2 years of age, a trial of no bracing o
Sponsors
AIIMS RAIPUR
Eligibility
Inclusion criteria
Inclusion criteria: Idiopathic clubfoot treated by Ponseti method. Age >1month and <2yrs.
Exclusion criteria
Exclusion criteria: Syndromic clubfoot Recurrent clubfoot or previously operated for clubfoot Had a previous dose of botulinum toxin. Patients not willing to give consent and follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To compare the clinical and functional outcomes of botulinum toxin type A versus tendoachillis tenotomy at the time of hindfoot stall in children with idiopathic clubfoot 2.Evaluate whether botulinum toxin type A can be effectively used for attenuating deformity correction and avoid the need for tenotomy, used as an office procedure at the time of hindfoot stall.Timepoint: baseline , 3wks , 6wks , 3months , 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Ultrasonographic evaluation of Achilles tendon and gastronemius-soleus muscle in idiopathic clubfeet before and after percutaneous tenotomy and botulinum toxin injection. 2. Monitoring serial Pirani clinical clubfoot scores in infants treated by Ponseti methodTimepoint: pre tenotomy or botulinum toxin , post tenotomy or botulinum toxin at 3wks , 6 wks , 3months , 6 months | — |
Countries
India
Contacts
Public ContactE Pandiyarajan
AIIMS , RAIPUR
Outcome results
None listed