LETTER TO EDITOR

Volume 2 | Issue 2 | JOCR April – June 2012 | Page 29 |Dr(capt)Sarthak Patnaik

Percutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot –A Response

Sarthak Patnaik

Goa Govt Medical College Goa,India.

Address of Correspondence 

Dr(capt)Sarthak Patnaik Goa Govt Medical College Goa,India.Email:sarthakpatnaik@hotmail.com.

 Sir,

At first I would congratulate the authors for the article on Percutaneous Needle tenotomy for Tendo Achilis Release in  Clubfoot published in Journal of Orthopaedic Case Reports [1]. I was following this kid of 13 days old with bilateral CTEV  with ponseti method when I went through the article and also  followed through the Technique Video on the website. I  followed the steps and it was my first case with needle to
perform a tenotomy of achillies. It was a good experience less  invasive and could succesfully perform the procedure. I had
few queries for the authors
1. In article it is 16 gauze needle whereas 18 in video. I believe  we need a stronger needle.
2. What exact age group for such procedure or we follow the  Pirani score [2] for all the patients.
3. What is the follow up protocol?
Lastly I would congratulate the authors again for the article  and thank you for this lovely experience.
Warm regards

References:
1.Patwardhan S,Shyam AK,Sancheti P.Percutaneous Needle Tenotomy for Tendo-achillis Release in cases of Clubfoot – Technical Note. J Ortho Case Reports 2012;2(1):35-36.
2.Pirani S, Outerbridge HK, Sawatzky B et al (1999) A reliable method of clinically evaluating a virgin clubfoot evaluation. In: Proceedings of the 21st SICOT World Congress, Sydney, Australia.

 

How to Cite This Article: 

Patnaik S. Percutaneous Needle Tenotomy for Tendo-achillis Release in Clubfoot- A Response.J Orthopaedic Case Reports 2012 AprilJune;2(2):29.Available fromhttp://www.jocr.co.in/wp/wp-content/uploads/2012/06/FINAL-Letter.pdf