A mini-open technique for Achilles tenotomy in infants with clubfoot

Rhett MacNeille, William Hennrikus, Brian Stapinski, Garrett Leonard

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: A tendoachilles lengthening (TAL) is indicated in over 85 % of cases treated with the Ponseti technique. A percutaneous TAL is often performed in the clinic. Reported complications from a TAL performed in the clinic include: bleeding due to injury to the peroneal artery, posterior tibial artery, or lesser saphenous vein; injury to the tibial or sural nerves; and incomplete release. The purpose of the present study is to report the results and complications of a mini-open TAL performed in the operating room (OR). Methods: The current study is a retrospective review performed among infants with idiopathic clubfoot who underwent a mini-open TAL from 2008 to 2015. Results: Forty-one patients underwent 63 TALs via a mini-open technique in day surgery. The average Pirani score was 5.8 prior to casting. The average number of casts applied prior to surgery was 5.2. The average age at the time of the TAL was 12.5 weeks (range 5–48 weeks). The average weight at the time of surgery was 7.3 kg (range 3.6–13 kg). No child had a delay in discharge or stayed overnight in the hospital. No anesthesia-related complications or neurovascular injuries occurred. No child needed a repeat TAL due to an incomplete tenotomy. Conclusions: In conclusion, mini-open TAL performed in the OR is safe and effective in infants with clubfeet. No complications occurred and all patients were discharged on the day of surgery. Direct visualization of the Achilles tendon via a mini-open technique minimizes the risk of neurovascular injury and incomplete tenotomy.

Original languageEnglish (US)
Pages (from-to)19-23
Number of pages5
JournalJournal of Children's Orthopaedics
Volume10
Issue number1
DOIs
StatePublished - Feb 1 2016

Fingerprint

Tenotomy
Clubfoot
Wounds and Injuries
Operating Rooms
Ambulatory Surgical Procedures
Tibial Arteries
Tibial Nerve
Sural Nerve
Achilles Tendon
Saphenous Vein
Anesthesia
Arteries
Hemorrhage
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

MacNeille, Rhett ; Hennrikus, William ; Stapinski, Brian ; Leonard, Garrett. / A mini-open technique for Achilles tenotomy in infants with clubfoot. In: Journal of Children's Orthopaedics. 2016 ; Vol. 10, No. 1. pp. 19-23.
@article{47583244674840fdab1e0a6873a60cfb,
title = "A mini-open technique for Achilles tenotomy in infants with clubfoot",
abstract = "Purpose: A tendoachilles lengthening (TAL) is indicated in over 85 {\%} of cases treated with the Ponseti technique. A percutaneous TAL is often performed in the clinic. Reported complications from a TAL performed in the clinic include: bleeding due to injury to the peroneal artery, posterior tibial artery, or lesser saphenous vein; injury to the tibial or sural nerves; and incomplete release. The purpose of the present study is to report the results and complications of a mini-open TAL performed in the operating room (OR). Methods: The current study is a retrospective review performed among infants with idiopathic clubfoot who underwent a mini-open TAL from 2008 to 2015. Results: Forty-one patients underwent 63 TALs via a mini-open technique in day surgery. The average Pirani score was 5.8 prior to casting. The average number of casts applied prior to surgery was 5.2. The average age at the time of the TAL was 12.5 weeks (range 5–48 weeks). The average weight at the time of surgery was 7.3 kg (range 3.6–13 kg). No child had a delay in discharge or stayed overnight in the hospital. No anesthesia-related complications or neurovascular injuries occurred. No child needed a repeat TAL due to an incomplete tenotomy. Conclusions: In conclusion, mini-open TAL performed in the OR is safe and effective in infants with clubfeet. No complications occurred and all patients were discharged on the day of surgery. Direct visualization of the Achilles tendon via a mini-open technique minimizes the risk of neurovascular injury and incomplete tenotomy.",
author = "Rhett MacNeille and William Hennrikus and Brian Stapinski and Garrett Leonard",
year = "2016",
month = "2",
day = "1",
doi = "10.1007/s11832-016-0710-3",
language = "English (US)",
volume = "10",
pages = "19--23",
journal = "Journal of Children's Orthopaedics",
issn = "1863-2521",
publisher = "Springer Verlag",
number = "1",

}

A mini-open technique for Achilles tenotomy in infants with clubfoot. / MacNeille, Rhett; Hennrikus, William; Stapinski, Brian; Leonard, Garrett.

In: Journal of Children's Orthopaedics, Vol. 10, No. 1, 01.02.2016, p. 19-23.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A mini-open technique for Achilles tenotomy in infants with clubfoot

AU - MacNeille, Rhett

AU - Hennrikus, William

AU - Stapinski, Brian

AU - Leonard, Garrett

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Purpose: A tendoachilles lengthening (TAL) is indicated in over 85 % of cases treated with the Ponseti technique. A percutaneous TAL is often performed in the clinic. Reported complications from a TAL performed in the clinic include: bleeding due to injury to the peroneal artery, posterior tibial artery, or lesser saphenous vein; injury to the tibial or sural nerves; and incomplete release. The purpose of the present study is to report the results and complications of a mini-open TAL performed in the operating room (OR). Methods: The current study is a retrospective review performed among infants with idiopathic clubfoot who underwent a mini-open TAL from 2008 to 2015. Results: Forty-one patients underwent 63 TALs via a mini-open technique in day surgery. The average Pirani score was 5.8 prior to casting. The average number of casts applied prior to surgery was 5.2. The average age at the time of the TAL was 12.5 weeks (range 5–48 weeks). The average weight at the time of surgery was 7.3 kg (range 3.6–13 kg). No child had a delay in discharge or stayed overnight in the hospital. No anesthesia-related complications or neurovascular injuries occurred. No child needed a repeat TAL due to an incomplete tenotomy. Conclusions: In conclusion, mini-open TAL performed in the OR is safe and effective in infants with clubfeet. No complications occurred and all patients were discharged on the day of surgery. Direct visualization of the Achilles tendon via a mini-open technique minimizes the risk of neurovascular injury and incomplete tenotomy.

AB - Purpose: A tendoachilles lengthening (TAL) is indicated in over 85 % of cases treated with the Ponseti technique. A percutaneous TAL is often performed in the clinic. Reported complications from a TAL performed in the clinic include: bleeding due to injury to the peroneal artery, posterior tibial artery, or lesser saphenous vein; injury to the tibial or sural nerves; and incomplete release. The purpose of the present study is to report the results and complications of a mini-open TAL performed in the operating room (OR). Methods: The current study is a retrospective review performed among infants with idiopathic clubfoot who underwent a mini-open TAL from 2008 to 2015. Results: Forty-one patients underwent 63 TALs via a mini-open technique in day surgery. The average Pirani score was 5.8 prior to casting. The average number of casts applied prior to surgery was 5.2. The average age at the time of the TAL was 12.5 weeks (range 5–48 weeks). The average weight at the time of surgery was 7.3 kg (range 3.6–13 kg). No child had a delay in discharge or stayed overnight in the hospital. No anesthesia-related complications or neurovascular injuries occurred. No child needed a repeat TAL due to an incomplete tenotomy. Conclusions: In conclusion, mini-open TAL performed in the OR is safe and effective in infants with clubfeet. No complications occurred and all patients were discharged on the day of surgery. Direct visualization of the Achilles tendon via a mini-open technique minimizes the risk of neurovascular injury and incomplete tenotomy.

UR - http://www.scopus.com/inward/record.url?scp=84959094713&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959094713&partnerID=8YFLogxK

U2 - 10.1007/s11832-016-0710-3

DO - 10.1007/s11832-016-0710-3

M3 - Article

C2 - 26825454

AN - SCOPUS:84959094713

VL - 10

SP - 19

EP - 23

JO - Journal of Children's Orthopaedics

JF - Journal of Children's Orthopaedics

SN - 1863-2521

IS - 1

ER -