Ultrasonographic Phases in Gap Healing Following Ponseti-Type Achilles Tenotomy

Mangat, K.; Kanwar, Raj; Johnson, Karl; Korah, George; Prem, Hari

doi:10.2106/jbjs.i.00188

Cited by 32 publications

(29 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various studies have done to evaluate the endoachilles regeneration using USG and MRI; they noted that there is continuity of Achilis tendon from 3-12 weeks after the tenotomy. 9,11,12 Number of weeks after which the patient started walking and standing on tip toe after removal of the final cast was highest in previously operated patients, lesser in patients who were treated conservatively previously and least in neglected patients. It also increased as the age increased.…”

Section: 13mentioning

confidence: 99%

“…Tendoachilles regeneration after tenotomy has been confirmed on USG and MRI in children below 2 years of age but none of the studies have done functional evaluation of tendoachilles. [9][10][11][12] This study has been done to evaluate functional outcome of Tendoachilles following Ponseti's Tenotomy for treatment of Congenital Talipes Equino Varus in children older than 2 years and to assess the influence of age/previous treatment on the functional outcome of tendoachilles after tenotomy.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Functional outcome of tendoachilles following Ponseti’s tenotomy for treatment of congenital talipes equino varus in children older than two years

et al. 2017

View full text Add to dashboard Cite

Background: Long term results of tenotomy and Ponseti technique are established worldwide. However, functions of Tendoachilles following Ponseti’s tenotomy in these cases i.e. idiopathic/neglected/operated/relapsed clubfeet (after casting or surgical correction) are not established. Tendoachilles regeneration after tenotomy has been confirmed on USG and MRI but only a few studies have done functional evaluation of tendoachilles. This study was done to evaluate the functional outcome of tendoachilles after tenotomy in patients older than two years presenting with CTEV. This study also assessed the influence of age and any previous treatment on tenotomy.Methods: In this study, 42 children (68 clubfeet) were seen in the two year study period. Children between 2-13 years coming to the outpatient department for treatment using the Ponseti’s method were followed during and after completion of treatment for 2 years. Patients were divided into two groups-first according to age and second according to previous treatment. Clinical evaluation of tendoachilles regeneration was done by evaluating the child’s ability to stand on tip of toes on single leg and walking ability.Results: The ability to stand on tip of toes after removal of the final cast was delayed maximum in the previously operated patients (9.5 weeks), lesser in patients who were previously treated by casting (7.3 weeks) and least in neglected patients (7 weeks). It also increased as the age increased (2-5 years age group required 7.4 weeks whereas 11-13 years age group required 16 weeks). Neglected patients started walking earlier (4.6 weeks) as compared to patients treated conservatively (4.8 weeks) or operatively (7.2 weeks). Younger children started walking earlier (age 2-5 years required 4.7 weeks whereas 11-13 years age group required 12 weeks). Conclusions: Functional evaluation of tendoachilles showed that all children who had tenotomy could walk and stand on tip of toes irrespective of age and previous treatment. However, older child and children having history of previous treatment, required longer time for recovery.

show abstract

Section: 13mentioning

confidence: 99%

mentioning

confidence: 99%

Functional outcome of tendoachilles following Ponseti’s tenotomy for treatment of congenital talipes equino varus in children older than two years

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Ultrasonography allows dynamic viewing of the psoas tendon as the hip is put through the motion that causes snapping. 24 18 Clubfoot Ultrasonography is used as an adjunct technique in the management of clubfoot for the initial assessment, monitoring of correction, and evaluation of recurrent deformity.…”

Section: Ultrasonography In Psoas Tendon Pathologymentioning

confidence: 99%

Applications of Musculoskeletal Ultrasonography in Pediatric Patients

Vanderhave

Brighton

Casey

et al. 2014

Journal of the American Academy of Orthopaedic Surgeons

View full text Add to dashboard Cite

Ultrasonography is an excellent adjunct to other musculoskeletal imaging tools utilized in the pediatric population and in some instances offers advantages over CT and MRI. It permits dynamic examination of anatomic structures and assists in guiding minimally invasive procedures. In the lower extremity, ultrasonography assists in screening for such disorders as developmental dysplasia of the hip and in detecting slipped capital femoral epiphysis and femoral acetabular impingement. In the neonatal spine, ultrasonography can identify unossified vertebral arches. Among other applications in the upper extremity, ultrasonography may be used in the evaluation and examination of peripheral nerve injuries and is a preferred modality for imaging the shoulder in infants with neonatal brachial plexus palsy. It is also considered an optimal adjunct for administration of botulinum toxin-A in children with cerebral palsy. The portability, relative low cost, lack of radiation, and absence of known contraindications enhances the utility of ultrasonography in pediatric orthopaedics.

show abstract

“…3). Tendon healing in young children has been extensively studied in relation to tendo-Achillis tenotomy in clubfoot and is attributed to abundant progenitor cells in young children [20][21][22]. With good healing in two cases we did not subject the other children to ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

Assessment of clinical outcome of percutaneous needle quadriceps tenotomy in the treatment of congenital knee dislocation

Patwardhan

Shah

Shyam

et al. 2015

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

Ultrasonographic Phases in Gap Healing Following Ponseti-Type Achilles Tenotomy

Abstract: Although there is evidence of continuity of the Achilles tendon by three weeks after tenotomy, healing is not complete until at least twelve weeks. The time needed for the tendon to completely heal should be taken into consideration before a revision Achilles tenotomy is planned.

Cited by 32 publications

References 5 publications

Functional outcome of tendoachilles following Ponseti’s tenotomy for treatment of congenital talipes equino varus in children older than two years

Functional outcome of tendoachilles following Ponseti’s tenotomy for treatment of congenital talipes equino varus in children older than two years

Applications of Musculoskeletal Ultrasonography in Pediatric Patients

Assessment of clinical outcome of percutaneous needle quadriceps tenotomy in the treatment of congenital knee dislocation

Contact Info

Product

Resources

About