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NCT Number: NCT07561697

Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children.

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.

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Key information

Conditions

Clubfoot Congenital Abnormalities Congenital, Hereditary, and Neonatal Diseases and Abnormalities Foot Deformities Foot Deformities, Acquired Foot Deformities, Congenital Limb Deformities, Congenital Lower Extremity Deformities, Congenital Musculoskeletal Abnormalities Musculoskeletal Diseases Talipes

Age range

2 year–5 year

Sex eligibility

All sexes

Study type

Observational

Primary location

About this study

Despite the increasing use of percutaneous techniques, there is a lack of literature directly comparing the functional outcomes of these two procedures, PAT and TAL. Addressing this knowledge gap is essential to guide pediatric orthopedic surgeons in selecting the most appropriate intervention for the treatment of equinus deformity in neglected clubfoot patients, optimizing functional recovery, minimizing complications, and ultimately improving the quality of care for children with neglected clubfoot.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Any gender
  • Aged 2-5 years
  • diagnosed with clubfoot
  • Pirani score 3-6

Exclusion criteria

  • Patients with other neuromuscular, chromosomal abnormalities
  • myelomeningocele
  • Dystrophic dysplasia
  • Moebius syndrome
  • Amniotic band syndrome
  • Metatarsus adductus
  • Syndactyly
  • Polydactyly
  • Previously underwent Achilles tendon tenotomy or tendo-Achilles lengthening

Treatment and study plan

Tenotomy of Achilles Tendon

Procedure

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.

Tendo-Achilles Lengthening

Procedure

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.

Primary outcomes

  1. Improvement in ankle dorsiflexion

    Time frame: 6 months

    Frequency of patients with improvement in ankle dorsiflexion will be noted.

Secondary outcomes

  1. Bleeding

    Time frame: 1 hour

    Frequencies of bleeding as none, mild moderate, and severe will be noted.

  2. Infection

    Time frame: 6 months

    Frequency of patients who had an infected wound will be noted.

  3. Incomplete tenotomy

    Time frame: 6 months

    Frequency of patients who will have incomplete release or residual deformity assessed after 6 months.

Study contacts

Contact information is provided by the study sponsor or research team.

Pervez Ali, FCPS

CONTACT

[email protected]

+923333001737

Sidratul Zaitoon

CONTACT

[email protected]

+923150012163

Sponsors and collaborators

Lead sponsor

Muhammad Aamir Latif

Other

Registry information

Official study title

Functional Outcomes of Percutaneous Achilles Tendon Tenotomy vs Tendo-Achilles Lengthening (TAL) in Neglected Clubfoot Children Age 2-5 Years.

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
May 1, 2026
Registry last updated
May 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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