There is limited local data available on the comparison between surgical blade no.11 and ophthalmic knife among patients with neglected clubfoot going through tenotomy. The study has been planned with the objective of comparing the effectiveness of surgical blade no. 11 and ophthalmic knife for percutaneous Achilles tendon tenotomy in Idiopathic clubfoot patients

Percutaneous Achilles tendon tenotomy is performed using surgical blade no. 11. However, concerns regarding incision size, bleeding, and scarring have led to exploration of alternative instruments. Previously, comparative studies have been conducted on a 22-gauge needle vs. a surgical blade. However, an ophthalmic knife, designed for microsurgical precision, offers a fine tip and elongated handle, allowing improved control during tendon release with a small incision and precision. Previous studies have compared blade and needle techniques and ophthalmic knives for percutaneous tenotomy of the Achilles tendon done on animals. The study findings would be helpful in opting for a better instrument for the procedure that should be effective and have a better safety profile.

Inclusion Criteria:

• Any gender
• Aged 2-5 years
• Diagnosed with clubfoot

Exclusion Criteria:

• Children with other neuromuscular
• Chromosomal abnormalities
• Arthrogryposis multiplex congenita
• Myelomeningocele
• Dystrophic dysplasia
• Moebius syndrome
• Amniotic band syndrome
• Metatarsus adductus
• Syndactyly
• Polydactyly

Newly diagnosed patients of clubfoot less than 6 months of age and having the Pirani score 3-6 within the study period were recruited.

Data can be shared on a reasonable request.