Analytical radiography of clubfoot after tenotomy

de Gheldere, Antoine;Docquier, Pierre-Louis
(2008) Journal of Pediatric Orthopaedics — Vol. 28, n° 6, p. 691-694 (2008)

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Abstract
The study was undertaken to determine the radiographic impact of the tenotomy after the Ponseti method. We report a retrospective and prospective radiographic analysis of 37 clubfeet after the Achilles tenotomy. The talocalcaneal angle was measured on lateral and anteroposterior views; the tibiotalar and the tibiocalcaneal angles were evaluated on the lateral view. The mean age at the time the last radiographic analysis was performed was 19 months (range, 13-35 months). Both studies have the same conclusion: the Achilles tenotomy decreases the lateral tibiocalcaneal angle and increases the lateral talocalcaneal angle. Furthermore, the tenotomy effect tends to diminish with time. LEVEL OF EVIDENCE: therapeutic study, level IV.
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de Gheldere, A., & Docquier, P.-L. (2008). Analytical radiography of clubfoot after tenotomy. Journal of Pediatric Orthopaedics, 28(6), 691-694. https://doi.org/10.1097/BPO.0b013e318183248a (Original work published 2008)