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Ultrasonographic phases in gap healing following ponseti-type achilles tenotomy
Karanjit Singh Mangat,Hari Prem +1 more
- pp 216-216
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TLDR
Although there is evidence of continuity of the Achilles tendon by three weeks after tenotomy, healing is not complete until at least twelve weeks, and the time needed for the tendon to completely heal should be taken into consideration before a revision Achilles tenotomy is planned.Abstract:
We performed a prospective ultrasonographic study of tendon healing following Ponseti-type Achilles tenotomy in 27 tendons (20 patients) with idiopathic congenital talipes equinovarus. Serial ultrasound examinations (both static and dynamic) were performed at 3, 6 and 12 weeks post-operatively. Casts were removed routinely 3 weeks post-tenotomy apart from two patients over 24 months of age who remained immobilised for 6 weeks. We observed three differing phases of healing apparent at 3, 6 and 12 weeks post tenotomy. We defined the end point of healing as the observation of tendon homogeneity across the gap zone on ultrasonography. This transition to normal ultra-structure was frequently seen by ultrasonography only at 12 weeks, when the divided ends of the tendon were indistinct. Though there is evidence of continuity of the tendon at the time of cast removal, it remains in the mid-phase of healing. The time taken for complete healing should be considered prior to planning a revision tenotomy. In two children over the age of 2 years, who had repeat tenotomy, the completion of healing by our criteria took longer than 12 weeks. The tendon gap healing does not appear to occur as readily in children over two years and other Methods: may be preferable to percutaneous tenotomy.read more
Citations
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Journal ArticleDOI
Management of congenital talipes equinovarus using the Ponseti method: A SYSTEMATIC REVIEW
TL;DR: The current best practice for the treatment of CTEV is the original Ponseti method, with minimal adjustments being hyperabduction of the foot in the final cast and the need for longer-term bracing up to four years.
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The Ponseti method for the treatment of congenital club foot: review of the current literature and treatment recommendations.
TL;DR: A review of the current literature and recommendations on the different aspects of the Ponseti method aims to promote understanding of the treatment regime and its’ details.
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Analysis of collagen organization in mouse achilles tendon using high-frequency ultrasound imaging.
Corinne N. Riggin,Joseph J. Sarver,Joseph J. Sarver,Benjamin R. Freedman,Stephen J. Thomas,Stephen J. Thomas,Louis J. Soslowsky +6 more
TL;DR: This HFUS method demonstrates that structural measures of collagen organization in tendon can be determined through ultrasound imaging, and provides a mechanistic evaluation of tissue structure that could potentially be used to develop a targeted approach to aid in rehabilitation or monitor return to activity after tendon injury.
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Serial ultrasound evaluation of pediatric trigger thumb.
Maneesh Verma,Clifford L. Craig,Michael A. DiPietro,Jeffrey Crawford,Kelly L. Vanderhave,Frances A. Farley,Michelle S. Caird +6 more
TL;DR: The pediatric trigger thumb is a developmental condition with normal echotexture noted in all FPL tendons without inflammation or trauma, and it resolves when this size disparity is eliminated.
References
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Journal ArticleDOI
Ponseti versus traditional methods of casting for idiopathic clubfoot.
TL;DR: Serial casting is successful in avoiding extensive posteromedial release (PMR) in only 11% to 58% of patients with idiopathic congenital clubfoot, and based on the authors' initial success with the Ponseti method, they no longer believe that PMR is required for most cases of idiopathy clubfoot.
Journal ArticleDOI
Treatment of the complex idiopathic clubfoot.
Ignacio V. Ponseti,Miroslav Zhivkov,Naomi Davis,Marc F. Sinclair,Matthew B. Dobbs,Jose A. Morcuende +5 more
TL;DR: Modifying the treatment protocol for complex clubfeet successfully corrected the deformity without the need for extensive corrective surgery.
Journal ArticleDOI
Evaluation of the treatment of idiopathic clubfoot by using the Ponseti method
TL;DR: It is believed that posteromedial release is no longer necessary for the majority of cases of congenital clubfeet.
Journal ArticleDOI
Chronic Rupture of Tendo Achillis
TL;DR: The management of chronic ruptures of tendo Achillis is usually different from that of acute rupture, as the tendon ends normally will have retracted, and imaging can be useful.