Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.
NCT07561697 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 44
Last updated 2026-05-01
Summary
Achilles tendon tenotomy is the established worldwide gold standard for correcting idiopathic clubfoot. However, in neglected cases, surgical interventions such as percutaneous Achilles tendon tenotomy (PAT) and open tendo-Achilles lengthening (TAL) are common techniques for correcting this deformity. This study aimed at determining the functional outcomes of Percutaneous Achilles Tendon Tenotomy (PAT) vs tendo-Achilles Lengthening (TAL) in the neglected clubfoot children of age 2-5 years.
Conditions
- Clubfoot
Interventions
- PROCEDURE
-
Tenotomy of Achilles Tendon
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the tenotomy of Achilles tendon technique.
- PROCEDURE
-
Tendo-Achilles Lengthening
Patients will be started on serial casting and manipulation according to ponseti method. After successful correction of cavus, varus, and adductus, patients will be treated using the Tendo-Achilles Lengthening technique.
Sponsors & Collaborators
-
Muhammad Aamir Latif
lead OTHER
Principal Investigators
-
Pervez Ali, FCPS · Jinnah Postgraduate Medical Centre, Karachi, Pakistan
-
Sidratul Zaitoon · Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Eligibility
- Min Age
- 2 Years
- Max Age
- 5 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-15
- Primary Completion
- 2026-04-30
- Completion
- 2026-04-30
Countries
- Pakistan
Study Locations
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