An observational study in Clubfoot, sponsored by Muhammad Aamir Latif. Recruiting at 1 site in Pakistan. Open to participants aged 2 Years to 5 Years. Per ClinicalTrials.gov, last updated 2026-05-01.
Sponsored by Muhammad Aamir Latif · Observational
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.
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.
69 studies on the registry are indexed under Clubfoot; 15 are open to participants now.
This study's planned enrollment of 44 is below the median of 55 across 27 observational studies indexed under Clubfoot.
Browse Clubfoot studies →Muhammad Aamir Latif is the lead sponsor of 57 studies on the registry; 9 are open to participants now.
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Newly diagnosed patients of clubfoot between 2 and 5 years of age having Pirani score 3-6 within the study period will be recruited.
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Exclusion Criteria:
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
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
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.
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.
Improvement in ankle dorsiflexion
Frequency of patients with improvement in ankle dorsiflexion will be noted.
Time frame: 6 months
Bleeding
Frequencies of bleeding as none, mild moderate, and severe will be noted.
Time frame: 1 hour
Infection
Frequency of patients who had an infected wound will be noted.
Time frame: 6 months
Incomplete tenotomy
Frequency of patients who will have incomplete release or residual deformity assessed after 6 months.
Time frame: 6 months
Plan to share: No — Data can be shared on a reasonable request.
No publications or documents are linked to this record.
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Muhammad Aamir Latif