Abstract

Congenital Talipes Equinovarus (CTEV) is a common deformity of the foot in all races. Turco advocated open tenotomy of the Achilles tendon at musculotendinous junction under direct vision but Ponseti reported the use of subcutaneous tenotomy in 70-90% cases of club feet treated conservatively and dorsiflexion beyond 15 degrees was not possible at the ankle. Aims and objective: Evaluation of effectiveness of tenotomy in clubfoot by demiglio score and footprint angle. Material and method: Patients with idiopathic CTEV who presented less than 2 year age in the outpatient department were included in the study in the period of 2 years. Study design is prospective cohort study included 35 patients. 5 patients lose to the follow up hince study composed of 30 patients with 47 feet. Quantification of various components of clubfoot deformity was done by using the Dimeglio score. Result: Quantification of various components of clubfoot deformity was done by using the Dimeglio score. Total cases 17 (56.6%) cases have bilateral presentation and 13 (43.4%) cases have unilateral presentation (Right sided 9 cases and left sided 4 cases). Satisfactory outcome was noted in 43 feet. Conclusion: Achieved a successful correction by Ponseti method with tenotomy less than two year age group patients was 91.4% feet according to Dimeglio scoring system

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