alexa Bleeding complications following percutaneous tendoachilles tenotomy in the treatment of clubfoot deformity.
Orthopaedics

Orthopaedics

Journal of Osteoarthritis

Author(s): Dobbs MB, Gordon JE, Walton T, Schoenecker PL, Dobbs MB, Gordon JE, Walton T, Schoenecker PL, Dobbs MB, Gordon JE, Walton T, Schoenecker PL, Dobbs MB, Gordon JE, Walton T, Schoenecker PL

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Abstract Ponseti demonstrated correction of most clubfeet in infants using proper manipulative techniques followed by application of well-molded long-leg plaster casts and a percutaneous tendoachilles tenotomy to correct residual equinus contracture. Medical complications occurring as a result of this technique have not to our knowledge been reported. The authors retrospectively reviewed 134 consecutive infants with 219 idiopathic clubfeet treated with the Ponseti method. A percutaneous tendoachilles tenotomy was performed on 200 clubfeet (91\%) at a mean age of 16 weeks (range, 6-77 weeks) when less than 10 degress of ankle dorsiflexion was present after casting. A total of 4 patients had serious bleeding complications following the percutaneous tendoachillis tenotomy--3 due to presumed injury to the peroneal artery and 1 due to injury to the lesser saphenous vein. The authors detail the technique of performing a percutaneous tendoachilles tenotomy and offer guidelines that may help others avoid this same complication. Copyright 2004 Lippincott Williams and Wilkins
This article was published in J Pediatr Orthop and referenced in Journal of Osteoarthritis

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