REPARATIVE REGENERATION OF ACHILLES’ TENDON AFTER SUBCUTANEOUS TENOTOMY IN TREATMENT OF CONGENITAL CLUBFOOT IN CHILDREN USING PONSETI METHOD (FOLLOWING ULTRASONOGRAPHIC EXAMINATION)
The results of the examination of 50 children (77 feet) with congenital clubfoot of III-IV degree who have been suffered subcutaneous transverse achillotomy at the last stage of treatment using the Ponseti Method. The analysis of tendon echostructure in 36 patients on 56 feet, who had suffered subfascial transverse tenotomy without vessel injury of the frill showed that the processes of reparative regeneration of tendon tissue take place in conductive conditions. The data of ultrasonographic examination in 14 patients on 21 feet confirm that in complete tenotomy of synovial sheath and frill as it happens in traumatic invasion, its reparative regeneration processes take place in unfavorable conditions. Ultrasonic research showed that after achillotomy having been performed in clubfoot treatment using the Ponseti Method complete restoring anatomic integrity of Achilles’ tendon up to the 30th day.