Journal of AdvancedMedical and Dental Sciences Research

Introduction: Clubfeet is the most common musculoskeletal congenital anomaly. Aim: This study aims to find out if we can predict the need for a tenotomy depending upon the initial precasting Pirani score of the deformity for better counselling of the parents. Materials and Method: This is a prospective study conducted on 64 patients (76 feet) of idiopathic clubfoot who were treated by the Ponseti method. In Results: The present study showed that 96% of feet having a Pirani severity score > or = 4  (or a severe deformity) needed tenotomy. Conclusion: Even a small procedure as a tendoachilles tenotomy is a matter of great concern and worry for the parents of the patient.Parents of a clubfeet child can be properly counselled regarding the need of tenotomy at the initial presentation itself if the deformity score is >or=4.
Key words: Clubfeet treatment, Musculoskeletal, Tenotomy, Tendoachilles.

Corresponding author: Dr Arnab Sinha, C/o Dr (Capt.) Dilip Kumar Sinha,302, Vishwanath Plaza, Near Dayanand High School, Khagaul Road, Mithapur, Patna 80000,  Bihar, E mail drarnsin@gmail.com

This article may be cited as:  Sinha A, Ahmed W, Kumar M, Kumar S. Prediction of Tendoachilles Tenotomy in Clubfeet Treatment- Our Experience At IGIMS. J Adv Med Dent Scie Res 2015;3(5):S32-S35.