ArticleCureus2024
Necessity of Tendoachilles Tenotomy in Patients With Congenital Talipes Equinovarus (CTEV) Treated Using the Ponseti Technique: A Prospective Cohort Study.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis study aims to determine how often Achilles tenotomy is performed on patients who have congenital talipes equinovarus (CTEV) and have been managed with Ponseti serial casts. MATERIALS AND
methodsThis prospective cohort study took place from November 2021 to May 2023 in the orthopedic unit of Hayatabad Medical Complex, Peshawar, Pakistan. About 38 pediatric patients with CTEV, who received treatment in the form of Ponseti casting, were enrolled in the study. Clinicodemographic data of the patients were recorded. Informed consents were taken prior to enrollment.
resultsUsing the Ponseti casting method, 56 feet in 38 pediatric patients with CTEV, were treated. Of 38 patients, 27 (71.05%) were male and 11 (28.94%) were female. Fourteen (36.84%) out of 38 had a right foot, 6 (15.7%) had a left foot, and 18 (47.36%) had bilateral foot involvement. The mean age was 8.8±2.5 weeks (ranging from 5 to 13 weeks) when they were subjected to Achilles tenotomy. The initial mean Pirani score was 3±0.74 while the final Pirani score was 1±0.74 after Ponseti casting, showing the efficacy of Ponseti casting correcting the cavus, varus, and adduction components of clubfoot. The mean number of casts was 5±0.84 to correct the aforementioned components of clubfoot. In 34 feet (60.71%) the residual equines deformity was persistent and Achilles tenotomy was done to make the foot plantigrade. In the end, all 38 patients had plantigrade feet.
conclusionEquinus deformity was present in over 60% of the patients following Ponseti serial casting, highlighting the need for tendoachilles tenotomy to make the foot plantigrade. A combination of Ponseti casting and tendoachilles tenotomy resulted in plantigrade feet in 100% of patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.