Literature DB >> 27298863

Percutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot- Authors' Reply.

Sandeep Patwardhan1, Ashok Shyam1, Parag Sancheti1.   

Abstract

Entities:  

Year:  2012        PMID: 27298863      PMCID: PMC4719177     

Source DB:  PubMed          Journal:  J Orthop Case Rep        ISSN: 2250-0685


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Sir, We appreciate the interest of Patnaik S [1] in our paper published in Journal of Orthoapedic Case Reports [2] and thank him for sharing his experience with the technique. We shall answers the queries raised sequentially. We are routinely using 16 or 18 gauge needle depending on the size of the child and in very young child infant a 18 gauge needle is enough. The trick is to tense the tendon by dorsiflexion and then cutting with the tip of the needle [you can feel the grating. This does not require a strong force if layer by layer cutting using the tip of the needle is done. Do not try to cut the entire tendon in one go. As one does more cases, an idea of force needed and needle that is best suited is developed. We have done this procedure as a part of ponseti technique, thus the indications of age are extension of ponseti and the procedure can be done safely till 6-8 months of age. We are routinely using Pirani scoring [3] for assessment of our cases. The follow up protocol is same as ponseti protocol and as mentioned in the article corrective cast is given for 3 weeks. We again appreciate the interest in our technique and sincerely hope it benefits more surgeons and patients.
  2 in total

1.  Percutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot - A Response.

Authors:  Sarthak Patnaik
Journal:  J Orthop Case Rep       Date:  2012 Apr-Jun

2.  Prcutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot - Technical Note.

Authors:  Sandeep Patwardhan; Ashok Shyam; Parag Sancheti
Journal:  J Orthop Case Rep       Date:  2012 Jan-Mar
  2 in total
  1 in total

1.  'Fast cast' and 'needle Tenotomy' protocols with the Ponseti method to improve clubfoot management in Bangladesh.

Authors:  Angela Evans; Mamun Chowdhury; Sohel Rana; Shariar Rahman; Abu Hena Mahboob
Journal:  J Foot Ankle Res       Date:  2017-11-09       Impact factor: 2.303

  1 in total

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