Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.

Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07561697

Enrollment

Registered

2026-05-01

Start date

2025-08-15

Completion date

2026-04-30

Last updated

2026-05-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Clubfoot

Brief summary

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.

Detailed description

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.

Interventions

PROCEDURETenotomy of Achilles Tendon

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.

PROCEDURETendo-Achilles Lengthening

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

2 Years to 5 Years

Healthy volunteers

Inclusion criteria

* Any gender * Aged 2-5 years * diagnosed with clubfoot * Pirani score 3-6

Exclusion criteria

* 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

Design outcomes

Primary

Measure	Time frame	Description
Improvement in ankle dorsiflexion	6 months	Frequency of patients with improvement in ankle dorsiflexion will be noted.

Secondary

Measure	Time frame	Description
Bleeding	1 hour	Frequencies of bleeding as none, mild moderate, and severe will be noted.
Infection	6 months	Frequency of patients who had an infected wound will be noted.
Incomplete tenotomy	6 months	Frequency of patients who will have incomplete release or residual deformity assessed after 6 months.

Countries

Pakistan

Contacts

CONTACTPervez Ali, FCPS

pervez73@hotmail.com+923333001737

CONTACTSidratul Zaitoon

sidra9503@gmail.com+923150012163

STUDY_DIRECTORPervez Ali, FCPS

Jinnah Postgraduate Medical Centre, Karachi, Pakistan

PRINCIPAL_INVESTIGATORSidratul Zaitoon