If needed

Tenotomy — if needed

Understand where tenotomy may fit in treatment and prepare questions for your child's clinical team.

Parents speak with a clinician while holding their baby.

How this stage fits

What this stage means

Start with the treatment explanation already in Happy Feet, then use the practical guidance below to prepare for your child's care.

Stage 2 — Achilles tenotomy, if needed

After the main parts of the deformity have been corrected, many babies still have tightness at the back of the ankle. A small Achilles tenotomy may be recommended to complete this part of the correction. How and where the procedure is performed can vary by age, clinician and local practice.

Read this guide →

Only if recommended

Tenotomy — if needed

Most of the correction happens through casting. If tightness remains at the back of the ankle, the treating team may recommend an Achilles tenotomy to complete the correction. The clinician decides whether it is needed for your child.

The cast afterward

After a tenotomy, another cast is usually used for a period while the tendon heals and the correction is maintained. The exact duration depends on the treating team's protocol.

Understand bracing and maintenance →

For your next appointment

Questions for your clinical team

  1. Might my child need a tenotomy, and how will you decide?
  2. How long will the final cast stay on?
  3. When will my baby be fitted for the brace?

Sources

External clinical references and supplied material used for this guidance.

Supplied reference material

  • Supplied Global HELP poster and local clinic handout. Their procedural details and final-cast timing are not universal parent instructions.

Conditional treatment step · If needed

Current viewTenotomy — if needed

Bracing remains a major part of the journey

The treatment overview describes bracing and maintenance as the next major part of the treatment journey after correction.