MRI recovery of the Achilles tendon after percutaneous tenotomy in older children.
Background: An observational study was conducted to evaluate the recovery of older children with relapsed congenital clubfoot who underwent an Achilles tenotomy for the second time as part of the Ponseti treatment. Methods: Thirteen patients (19 feet) with congenital clubfoot underwent Achilles teno...
| Publicado en: | Journal of Orthopaedic Surgery & Research Vol. 16; no. 1; pp. 1 - 8 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
BioMed Central
4/13/2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149786917&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149786917 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1749799X 38N9 jtl: Journal of Orthopaedic Surgery & Research issn: 1749799X maglogo: N pubinfo: dt: 4/13/2021 vid: 16 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 149786917 149786917 149786917 10.1186/s13018-021-02407-4 149786917 ppf: 1 ppct: 7 formats: tig: atl: MRI recovery of the Achilles tendon after percutaneous tenotomy in older children. aug: au: Yao, Manye Zhang, Chunxu Cheng, Weyland Guo, Junhong Dong, Shijie affil: Department of Orthopaedic Surgery, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhu Waihuan East Road, 450018, Zhengzhou, Henan, China sug: subj: Magnetic Resonance Imaging Methods Recovery Evaluation Tenotomy Methods Clubfoot Surgery Recurrence Surgery Reoperation Achilles Tendon Surgery Treatment Outcomes Evaluation Minimally Invasive Procedures Human Nonexperimental Studies Surgical Patients Postoperative Period Child, Preschool Child Comparative Studies Descriptive Statistics Wound Healing Child, Preschool: 2-5 years Child: 6-12 years ab: Background: An observational study was conducted to evaluate the recovery of older children with relapsed congenital clubfoot who underwent an Achilles tenotomy for the second time as part of the Ponseti treatment. Methods: Thirteen patients (19 feet) with congenital clubfoot underwent Achilles tenotomy where magnetic resonance images of the severed tendons were taken after 1, 3, and 6 weeks post-procedure. The participants were categorized into older children who underwent tenotomy for the first time (group A: mean, 4.9±1.8, and range, 2.8–7 years old) and older children who underwent tenotomy for a second time (group B: mean, 4.9±1.5, and range, 3–6.8 years old). The area of high signal intensity between the severed tendons on MRI scans was computed using Python programming language and compared with clinical assessment. Results: Three weeks after Achilles tenotomy, groups A and B had clinically intact tendons in 9 out of 11 and 2 out of 8 feet, respectively, according to both clinical and MRI assessment. From week 1 to week 3 post-tenotomy, computational analysis showed that the mean high signal intensity area of group A decreased by 88.5±15.2%, which was significantly different (P.048 <.05) than the percent reduction of high signal intensity area of group B (69.0±24.9%). Conclusion: Children who underwent Achilles tenotomy for the second time showed slower tendon recovery on the third week post-procedure. A possible reason for slower healing times may be due to the location of tenotomy in being further away from the musculotendinous junction where extrinsic healing mechanisms take place. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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