Hafiz Muhammad Ishfaq.
Epidemiology and its Associated Factors of Bilateral Club Feet in Orthopedic Department, Children Hospital Multan.
Pak Paed J Jan ;44(3):256-60.
Objective: To determine the epidemiology and Its associated factors of bilateral club feet in orthopedic department of Children Hospital, Multan. Study design: Observational study Place and Duration of Study: The Department of Pediatric Orthopedic Surgery, Children Hospital, Multan. Six months from 1st June 2018 to December 2018. Material and Methods: This was observational study. Children having clubfoot visited in the Department of Pediatric Orthopedic Surgery, The Children`s Hospital and the Institute of Child Health, Multan were included. Data were analyzed by using SPSS version 21. Categorization criteria among mild, moderate and severe deformity of clubfoot were, if foot is dorsiflexed to more than 90 angle it was categorized as mild, up to 90 angle moderate and not approachable to 90 angle was severe. Results: 150 patients having congenital talipes equinovarus (CTEV) were studied. All of the patients were below 3 months of age. Among all these patients, 63% having bilateral clubfoot and among unilateral, 17% presented with right clubfoot and 20% presented with left clubfoot. There are 57 % male children and 43% female children. Male to female ratio was 1.34. From the clubfoot patients 73% have no family history, 15% have sibling with clubfoot, 4.6% have positive family history from father and 7.4% have positive family history from mother. Antenatal presentation of 83.3% patients was normal, breech was in 13.3% cases and transverse was in 3.4% cases. Conclusion: Unfortunately, the result showed that family history is the major contributing factor of clubfoot. Clubfoot affected more males than females.
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