Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method
Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a larg...
Saved in:
| Published in: | La Pediatria medica e chirurgica Vol. 44; no. s1 |
|---|---|
| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Italy
PAGEPress Publications
28.10.2022
|
| Subjects: | |
| ISSN: | 0391-5387, 2420-7748, 2420-7748 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children’s Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique. |
|---|---|
| AbstractList | Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children's Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique. Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children's Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique.Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children's Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique. |
| Author | Monforte, Sergio Andreacchio, Antonio Richetta, Silvia |
| Author_xml | – sequence: 1 givenname: Silvia surname: Richetta fullname: Richetta, Silvia – sequence: 2 givenname: Antonio surname: Andreacchio fullname: Andreacchio, Antonio – sequence: 3 givenname: Sergio surname: Monforte fullname: Monforte, Sergio |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37184315$$D View this record in MEDLINE/PubMed |
| BookMark | eNptkU1r3DAQhkVJaLZpbj0XHXuIN_qyLR9DaNJAoDm0ZzGWR14FW9pKMiX_vt5ukkPpaWB45h14nw_kJMSAhHzibKuY5lf72W4FE2Iruvod2QglWNW2Sp-QDZMdr2qp2zNykfMTY4zXutNt_Z6cyZZrJXm9IeMjJrsUCBiXTK_tzk8TZlowxBLnZ7pkH0YKlGs6wjIiDYjDhNQHWnZIS0IoM4ZCo6N2WnoXY6G_fdnRxxgyFk9nLLs4fCSnDqaMFy_znPy8_frj5lv18P3u_ub6obKSs7oSru2U5tBrZvuG172wTnYAaLkA6EBbhs1gVQetbZnSdiX7QTgNzvGhkfKc3B9zhwhPZp_8DOnZRPDm7yKm0UAq3k5o1qxBuqZvLNYKLep67Uf1rOma1nF2yPpyzNqn-GvBXMzss8VpOrZlhOZS644ptqKfX9Cln3F4e_xa9ApcHgGbYs4J3RvCmTmoNKtKc1BpVpUrLv7BrS9QfAwlgZ_-f_QHP9uiFw |
| CitedBy_id | crossref_primary_10_1016_j_rehab_2024_101839 crossref_primary_10_1302_0301_620X_106B8_BJJ_2024_0094_R1 crossref_primary_10_1016_j_joscr_2025_04_003 |
| Cites_doi | 10.1097/BPO.0b013e31825611a6 10.1007/s11832-016-0710-3 10.22271/ortho.2017.v3.i4k.108 10.1053/j.jfas.2004.05.012 10.18535/ijmsci/v9i02.01 10.1097/BPO.0b013e3181b76a5f 10.7547/19-121 |
| ContentType | Journal Article |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 DOA |
| DOI | 10.4081/pmc.2022.295 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic CrossRef |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 2420-7748 |
| ExternalDocumentID | oai_doaj_org_article_8c0d3f6b6ce54ece855894b06967f103 37184315 10_4081_pmc_2022_295 |
| Genre | Journal Article |
| GroupedDBID | AAYXX ADBBV ALMA_UNASSIGNED_HOLDINGS BCNDV CITATION F5P GROUPED_DOAJ KQ8 OK1 5VS CGR CUY CVF ECM EIF NPM 7X8 |
| ID | FETCH-LOGICAL-c3105-2f79481ab80cb615b2cf39aaec12aa9a8c0e6dc49a7c7048cab8bd2f8aff1d633 |
| IEDL.DBID | DOA |
| ISSN | 0391-5387 2420-7748 |
| IngestDate | Fri Oct 03 12:19:22 EDT 2025 Fri Jul 11 12:38:37 EDT 2025 Thu Jan 02 22:50:52 EST 2025 Sat Nov 29 03:10:16 EST 2025 Tue Nov 18 22:31:52 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | s1 |
| Language | English |
| License | https://creativecommons.org/licenses/by-nc/4.0 |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c3105-2f79481ab80cb615b2cf39aaec12aa9a8c0e6dc49a7c7048cab8bd2f8aff1d633 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://doaj.org/article/8c0d3f6b6ce54ece855894b06967f103 |
| PMID | 37184315 |
| PQID | 2813889040 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_8c0d3f6b6ce54ece855894b06967f103 proquest_miscellaneous_2813889040 pubmed_primary_37184315 crossref_primary_10_4081_pmc_2022_295 crossref_citationtrail_10_4081_pmc_2022_295 |
| PublicationCentury | 2000 |
| PublicationDate | 2022-10-28 |
| PublicationDateYYYYMMDD | 2022-10-28 |
| PublicationDate_xml | – month: 10 year: 2022 text: 2022-10-28 day: 28 |
| PublicationDecade | 2020 |
| PublicationPlace | Italy |
| PublicationPlace_xml | – name: Italy |
| PublicationTitle | La Pediatria medica e chirurgica |
| PublicationTitleAlternate | Pediatr Med Chir |
| PublicationYear | 2022 |
| Publisher | PAGEPress Publications |
| Publisher_xml | – name: PAGEPress Publications |
| References | 1503 1502 1501 1508 1507 1506 1505 1504 |
| References_xml | – ident: 1505 doi: 10.1097/BPO.0b013e31825611a6 – ident: 1502 doi: 10.1007/s11832-016-0710-3 – ident: 1504 doi: 10.22271/ortho.2017.v3.i4k.108 – ident: 1503 doi: 10.1053/j.jfas.2004.05.012 – ident: 1507 doi: 10.18535/ijmsci/v9i02.01 – ident: 1506 doi: 10.1097/BPO.0b013e3181b76a5f – ident: 1501 – ident: 1508 doi: 10.7547/19-121 |
| SSID | ssj0001589875 ssib026971559 |
| Score | 2.2333052 |
| Snippet | Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods... |
| SourceID | doaj proquest pubmed crossref |
| SourceType | Open Website Aggregation Database Index Database Enrichment Source |
| SubjectTerms | 18 gaunge needle Achilles Tendon - surgery Child clubfoot Clubfoot - surgery Humans Infant Needles Pain Management percutaneous Achilles tenotomy Ponseti method Tenotomy - methods Treatment Outcome |
| Title | Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/37184315 https://www.proquest.com/docview/2813889040 https://doaj.org/article/8c0d3f6b6ce54ece855894b06967f103 |
| Volume | 44 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2420-7748 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001589875 issn: 0391-5387 databaseCode: DOA dateStart: 20120101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1La9wwEBZpKKGX0kfabh9BgfZU3FiyrMcxCQm5ZNlDC3sTkiwtCxs7bLyF_vvOWI7ZS-ilFx-MwPY3I8031mg-Qr5C0HcxslCUXtSFqJMpPJO-YAHWQieVhGxuEJtQ87leLs1iT-oLa8Jye-AM3JkOZVMl6WWItYgosllrI3wpjVSJ5T6fwHr2kinwJC6Nmvbb8nlhDcn1UM9YGVbALFe5Cl5ASDy7v8Nmhpz_4CgzsRefhjb-T3PPIQZdvyIvR_JIz_NLvyYHsX1Djm7H7fG3ZLWI27ADuhchn6fneFB7Ex8o0OKu7-7-UCxyX1FHmaYrt1tF2kLs2kS6binwQDoVndMu0bDZ-dR1PcU_tXSBRdf9mmbB6WPy6_rq5-VNMSopFAHoW13wpLAri_O6DB44jOchVca5GBh3zjgAOcomCONUUDCnA4z0DU_apcQaWVXvyGHbtfEDoU0ZfQgixVoroaUBoH2pVRSYyjSNnJHvj_jZMLYZR7WLjYV0A9G2gLZFtC2gPSPfptH3ub3GE-Mu0BTTGGyKPdwAV7Gjq9h_ucqMnD4a0sIkwp2RbBDLNau0NrCgzcj7bOHpUZVCSRxWf_wfr_CJvMBPwuDH9Wdy2G938Qt5Hn7364ftCXmmlvpk8GS4zhe3fwF7vPTn |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Percutaneous+Achilles+tenotomy+using+a+18+gauge+needle+in+the+treatment+of+clubfoot+with+Ponseti+method&rft.jtitle=La+Pediatria+medica+e+chirurgica&rft.au=Silvia+Richetta&rft.au=Antonio+Andreacchio&rft.au=Sergio+Monforte&rft.date=2022-10-28&rft.pub=PAGEPress+Publications&rft.issn=0391-5387&rft.eissn=2420-7748&rft.volume=44&rft.issue=s1&rft_id=info:doi/10.4081%2Fpmc.2022.295&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_8c0d3f6b6ce54ece855894b06967f103 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0391-5387&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0391-5387&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0391-5387&client=summon |