{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:11:24Z","timestamp":1777907484505,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Belgian Kids Fund for Pediatric Research","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Ponseti treatment has been well-established as the gold standard for the treatment of idiopathic clubfoot in high-income countries and middle- and low-income countries (LMICs). The tenotomy is usually performed in the clinic using a scalpel blade under local anesthesia. However, we believe that by adapting the technique from Minkowitz et al. to a low-resource setting, we can help address some of the known barriers to Ponseti care. Using a needle instead of a blade makes the procedure less cumbersome easier to learn and easier to understand for the provider, family and the patient. We were able show that the needle tenotomy technique can be implemented in a low-resource setting like Pakistan, and can be performed using only one assistant and materials that are locally and readily available for the same cost This paper and its attached educational videos can help spread the technique among providers in low-resource settings.<\/jats:p>","DOI":"10.1177\/00494755221146343","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T19:50:30Z","timestamp":1682711430000},"page":"378-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Percutaneous Achilles tendon tenotomy in clubfoot patients with a 22 gauge needle in a low-resource setting"],"prefix":"10.1177","volume":"53","author":[{"given":"Jabbar Ghufran","family":"Syed","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, The Indus Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mansoor Ali","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Indus Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Amin","family":"Chinoy","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Indus Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0683-9520","authenticated-orcid":false,"given":"Manon","family":"Pigeolet","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universit\u00e9 Libre de Bruxelles, Brussels, Belgium"},{"name":"Department of Pediatric Orthopedics, H\u00f4pital Necker \u2013 Enfants Malades, Paris Cit\u00e9 University, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"bibr1-00494755221146343","volume":"3","author":"Owen RM","year":"2018","journal-title":"BMJ Glob Heal"},{"key":"bibr2-00494755221146343","unstructured":"Ponseti IV. Congenital clubfoot, fundamentals of treatment. 2nd ed. Oxford, UK: OUP, 1996, p. 1\u2013160."},{"key":"bibr3-00494755221146343","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2004.05.012"},{"key":"bibr4-00494755221146343","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12684"},{"key":"bibr5-00494755221146343","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101448"},{"key":"bibr6-00494755221146343","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.13957"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755221146343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755221146343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755221146343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:35:13Z","timestamp":1777642513000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755221146343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,28]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/00494755221146343"],"URL":"https:\/\/doi.org\/10.1177\/00494755221146343","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,28]]}}}