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

NCT07561697 | Recruiting

• 1 other identifier: Dr-Pervez-Ali-Karachi
• Study Type: observational
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Clubfoot

Outcome Measures

Primary Outcomes (1)

• Improvement in ankle dorsiflexion

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

  6 months

Secondary Outcomes (3)

• Bleeding

  1 hour

• Infection

  6 months

• Incomplete tenotomy

  6 months

Study Arms (2)

Percutaneous Achilles Tendon Tenotomy-Group

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.

Procedure: Tenotomy of Achilles Tendon

Tendo-Achilles Lengthening-Group

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.

Procedure: Tendo-Achilles Lengthening

Interventions

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.

Percutaneous Achilles Tendon Tenotomy-Group

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.

Tendo-Achilles Lengthening-Group

Eligibility Criteria

• Age: 2 Years - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Newly diagnosed patients of clubfoot between 2 and 5 years of age having Pirani score 3-6 within the study period will be recruited.

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Muhammad Aamir Latif: lead

Study Sites (1)

Jinnah Postgraduate Medical Centre

Karachi, Sindh, 75510, Pakistan

RECRUITING

MeSH Terms

Conditions

Clubfoot

Condition Hierarchy (Ancestors)

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

Study Officials

• Pervez Ali, FCPS

  Jinnah Postgraduate Medical Centre, Karachi, Pakistan

  STUDY DIRECTOR

• Sidratul Zaitoon

  Jinnah Postgraduate Medical Centre, Karachi, Pakistan

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Pervez Ali, FCPS

CONTACT

+923333001737; pervez73@hotmail.com

Sidratul Zaitoon

CONTACT

+923150012163; sidra9503@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Consultant

Study Record Dates

• First Submitted: April 24, 2026
• First Posted: May 1, 2026
• Study Start: August 15, 2025
• Primary Completion: April 30, 2026
• Study Completion: April 30, 2026
• Last Updated: May 1, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)