The Role of Achilles Tenotomy in Clubfoot Correction

Background: Achilles tenotomy represents the cornerstone of equinus correction within the Ponseti method for congenital talipes equinovarus (clubfoot) and is essential for achieving adequate ankle dorsiflexion and forefoot abduction. Objective: To evaluate the effectiveness, safety, and clinical outcomes of Achilles tenotomy in the management of infants with congenital clubfoot at a tertiary center. Methods: A prospective clinical study was conducted on 50 infants with congenital clubfoot treated according to the Ponseti protocol followed by percutaneous Achilles tenotomy. Demographic, etiological, and laterality data were recorded and outcomes were categorized as complete, near-complete, or residual deformity. Results: Complete correction was achieved in 39 patients (78%), near-complete correction in 7 patients (14%), and residual deformity in 4 patients (8%). Syndromic etiology was significantly associated with a higher rate of non-complete outcomes compared with idiopathic clubfoot.Conclusion: Achilles tenotomy is a safe, minimally invasive, and highly effective procedure for achieving optimal correction in congenital clubfoot, particularly in idiopathic cases.