DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20211409

Demographic study of congenital talipes equinovarus deformity in central India

Rahul Ahirwar, Sachin Upadhyay, H. S. Varma

Abstract


Background: Congenital idiopathic clubfoot is the most common birth defect of the musculoskeletal system affecting 1 in every 1000 live births each year. Aim of our study was to determine the demographic variables, risk factors associated with CTEV in central India.

Methods: A retrospective study was conducted from January 2019 to August 2020 using data of 200 patients with CTEV registered at department of orthopaedics, Netaji Subhash Chandra Bose medical college, Jabalpur, Madhya Pradesh, India were included in our study.

Results; Out of total of 200 patients, 167 patients belong to age group <1 year (83.5%) with range from 10 days -7 years. Males were twice (65%) likely affected and (53.5%) clubfoot cases had both feet affected. Right side was more affected in unilateral cases. 189 patients (94.5%) were idiopathic, whereas 11 patients (5.5%) were non-idiopathic. there were 58 (29%) children out of 200, born of consanguineous marriage of parents. Risk factors like anemia, jaundice, asphyxia, obstructed labor, history of miscarriage had positive correlation with clubfoot. CTEV patients of low birth weight <2.5 kg associated with maternal risk factors like smoking, alcohol, anemia.

Conclusions: Demographic study is useful tool for determining birth prevalence and risk factors associated with CTEV. There are significantly higher proportion of consanguinity in clubfoot patients. Cultural differences may lead to differences in our findings with respect to the previous studies. These preliminary findings will help in the future for similar studies in central India as well as in the general Indian population.


Keywords


Demographic, Congenital talipes equinovarus, Idiopathic

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References


Kite JH. The clubfoot. Grune and Stratton, New York. 1964;2.

Wynne-Davis R. Family studies and the causes of congenital clubfoot: Talipes equinovarus, talipes calcaneal valgus, and metatarsus varus. J Bone Joint Surg Br. 1964;46:445-63.

Park K. Park‘s textbook of Preventive and Social Medicine, 17thedition, M/s Banarsidas Bhanot Publisher, Jabalpur, India. 2002;392.

Pirani S, Outerbridge H, Moran M, Sawatsky B. A method of evaluating virgin clubfoot with substantial interobserver reliability. POSNA. 1995;4:129-36.

Pavone V, Bianca S, Grosso G, Pavone P, Mistretta A, Longo M R et al. Congenital talipes equinovarus: an epidemiological study in Sicily. Acta Orthop. 2012;83(3):294-8.

Shylaja DK, Menasinkai SB, Ramesh BR. Study of congenital clubfoot in newborns. Int J Anat Res. 2016;4(4):3072-8.

Gunalan R, Mazelan A, Lee YPB. Saw A Pattern of Presentation and Outcome of Short-term Treatment for Idiopathic Clubfoot/CTEV with Ponseti Method. Malaysian Orthop J. 2016;10:3.

Ponseti IV. Treatment of congenital club foot. J Bone Joint Surg Am. 1992;74(3):448-54.

Docker CEJ, Lewthwaite S, Kiely NT. Ponseti treatment in the management of clubfoot deformity – a continuing role for paediatric orthopaedic services in secondary care centres. Ann R Coll Surg Engl. 2007;89:510-2.

Bhaskar A, Rasal S. Results of treatment of clubfoot by Ponseti's technique in 40 cases: Pitfalls and problems in the Indian scenario. Indian Orthop. 2006;40:196-9.

McConnell L, Cosma D, Vasilescu D, Morcuende J. Descriptive epidemiology of clubfoot in Romania: a clinic-based study. Eur Review Med Pharmacol Sci. 2016;20:220-4.

Dalai KC. The result of surgical treatment of congenital talipese quino varus. Thesis for MS Ortho; Utkal University. 1976.

Cardy AH, Barker S, Chesney D. Pedigree analysis and epidemiological features of idiopathic congenital talipes equinovarus in the United Kingdom: a case-control study. BMC Musculoskelet Disord. 2007;8:62.

Parker SE, Mai CT, Strickland MJ, Olney RS, Rickard R, Marengo L et al. Multistate study of the epidemiology of clubfoot. Birth Defects ResA Clin Mol Teratol. 2009;85(11):897-904.

Gulati R. Consanguineous marriages still high in Puducherry. The Hindu. 2011;4.

Kulkarni SM, Malve S, Negandhi R, Prevalence and Degree of consanguinity in idiopathic clubfoot in India. Int j paediatr orthop. 2016;2(1):33-4.