Frequency of hospitalization in patients diagnosed with congenital talipes equinovarus (CTEV)

Autor

  • Piotr Okoński Orthopaedic and Rehabilitation Supply Centre MUSI Lublin sp. z o.o., Poland Autor
  • Patrycja Misztal-Okońska Department of Emergency Medicine, Medical University of Lublin, Poland Autor
  • Marek Okoński Children’s Orthopaedic Clinic and Rehabilitation Department, Medical University of Lublin, Poland Autor
  • Piotr Książek Chair and Department of Public Health, Medical University of Lublin, Poland Autor
  • Mariusz Goniewicz Department of Emergency Medicine, Medical University of Lublin, Poland Autor

DOI:

https://doi.org/10.1515/pjph-2015-0059

Słowa kluczowe:

congenital talipes equinovarus, clubfoot, lower limb defect, foot deformity

Abstrakt

Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after congenital dysplasia of the hip (CDH) most frequently occurring congenital limb defect. In Europe the deformity affects 1-2 newborns in 1000 live births.

Aim. The aim of the study was to determine frequency of the deformity among other reasons for hospitalization, as well as depicting the profile of patients treated for clubfoot.

Material and methods. Study method was the analysis of medical documentation from two Orthopaedic Wards of Prof. Antoni Gębala Children’s Hospital of Lublin. Medical records of patients treated for congenital talipes equinovarus (IDC 10-Q66.0) between 2008 and 2013 were the study material.

Results. Results of the study show that in the analyzed period of time 310 children were hospitalized for clubfoot in hospotal. 39.35% (n=122) of the total number of patients were girls and 60.65% (n=188) were boys. The average age of patients was 3.69 years, (Me=1.09 years). Average age of girls was 4.17 (Me=1.35 years) and boys 3.89 (Me=0.83 years). The most numerous group consisted of infants up to 1 year (n=154; 49.68%).

Conclusions. Clubfoot affects boys twice as often as girls. Moreover, in the examined hospital the average length of stay for patients with clubfoot has decreased. The research reveals that the average hospitalization length in children with congenital talipes equinovarus is systematically decreasing. The study shows that the number of patients being admitted to the Children’s Orthopedics Institute of the Hospital is increasing while the number of patients with clubfoot remains on the same level.

Bibliografia

1. Matuszewski Ł, Okoński M, Gil L, Ostrowski J, Okoński P, Korzyści w leczeniu stopy końsko szpotawej u dzieci przy pomocy metody Ponsetiego – lepsza efektywność przy mniejszej inwazyjności, Zdr Publ. 2013;123(1):53-6.

2. Ostrowski J, Karski T, Matuszewski Ł. The role of the modified skin incision, the range of tendon lengthening and capsulotomy for the results of operative treatment of the congenital clubfoot. PJOES. 2006;15(6B):296-8.

3. Cummings RJ, Davidson RS, Armstrong PF, Lehman WB. Congenital clubfoot. Instr Course Lect. 2002;51:385-400.

4. Pavone V, Testa G, Costarella L, et al. Congenital idiopathic talipesequinovarus: an evaluation in infants treated by the Ponseti method. Eur Rev Med Pharm Sci. 2013;17:2675-9.

5. Porecha MM, Parmar DS, Chavda HR. Mid-term results of Ponseti method for the treatment of congenital idiopathic clubfoot (a study of 67 clubfeet with mean five year follow-up). J Orthop Surg Res. 2011;6:3.

6. Matthew B. Dobbs MD Update on Clubfoot: Etiology and Treatment. Clin Orthop Relat Res. 2009;467:1146-53.

7. Dimeglio A, Bensahel H, Souchet P, Mazeau P. Classification of clubfoot. J Pediatr Orthop B. 1995;4:129-36.

8. Kler J, Tomaszewski R, Wawrzyczek J, Bober K. Treatment methods of congenital talipes equinovarus – three case reports. J Pediatr Neonatol. 2005;2(1):18-21.

9. Miedzybrodzka Z. Congenital talipes equinovarus (clubfoot): a disorder of the food but not the hand. J Anat. 2003;202:37-42.

10. Sommer A, Blanton SH, Weymouth K, et al. Smoking, the xenobiotic pathway, and clubfoot. Birth Defects Res A Clin Mol Teratol. 2011;91(1):20-8.

11. Funk JF, Lebek S, Seidl T, Placzek R. Comparison of treatment results of idiopathic and non-idiopathic congenital clubfoot : prospective evaluation of the Ponseti therapy. Orthopade. 2012;41(12):977-83.

12. Palma M, Cook T, Segura J, et al. Barriers to the Ponseti method in Peru: a two-year follow-up. Iowa Orthop J. 2013;33:172-7.

13. Rijal R, Shrestha BP, Singh GK, et al. Comparison of Ponseti and Kite’s method of treatment for idiopathic clubfoot. Indian J Orthop. 2010;44(2):202-7.

14. Gray K, Gibbons P. Clubfoot-advances in diagnosis and management. Aust Fam Physician. 2012;41(5):299-301.

15. Bridgens J, Kiely N. Current management of clubfoot (congenital talipesequinovarus) BMJ. 2010;340-55.

16. Morcuende JA. Congenital idiopathic clubfoot: prevention of late deformity and disability by conservative treatment with the Ponseti technique. Pediatr Ann. 2006;35(2):128-30, 132-6.

17. Desai L, Oprescu F, DiMeo A, Morcuende JA. Bracing in the treatment of children with clubfoot: past, present, and future. Iowa Orthop J. 2010;30:15-23.

18. Harmer L, Rhatigan J. Clubfoot care in low-income and middle-income countries: from clinical innovation to a public health program. World J Surg. 2014;38(4):839-48.

19. Pirani S, Naddumba E, Mathias R, et al. Towards effective Ponseti clubfoot care: The Uganda sustainable clubfoot care project. Clin Orthop Relat Res PMC. 2009;467:1154-63.

20. Chapman C, Stott S, Viola Port RV, et al. Segregation analysis of idiopathic talipes equinovarus in Texan population. Am J Med Genet. 1998;79:97-102.

21. Brougham DI, Nicol RO. Use of the Cincinnati incision in congenital talipes equinovarus. J Pediatr Orthop. 1988;8:696-8.

22. Halanski MA, Maples D, Davison J. et al. Separating the Chicken from the Egg: An Attempt to Discern Between Clubfoot Recurrences and Incomplete Corrections. The Iowa Orthop J. 2010;V30:29-34.

23. Kruse LM, Dobbs MB, Gurnett CA. Polygenic threshold model with sex dimorphism in clubfoot inheritance: the Carter effect. J Bone Joint Surg Am. 2008;90:2688-94.

24. Werler MM, Yazdy MM, Mitchell AA, et al. Descriptive epidemiology of idiopathic clubfoot. Am J Med Genet A. 2013;161A(7):1569-78.

25. Ostrowski J. Odległe badania nad zmiennością morfologiczną i czynnościową stóp u osób operowanych w okresie niemowlęcym i wczesnodziecięcym z powodu deformacji końsko-szpotawych. Rozprawa doktorska. Lublin: Uniwersytet Medyczny w Lublinie; 2002.

26. Bakalis S, Sairam S, Homfray T, et al. Outcome of antenatally diagnosed talipes equinovarus in an unselected obstetric population. Ultrasound Obstet Gynecol. 2002;20(3):226-9.

27. Gibbons PJ, Gray K. Update on clubfoot. J Paediatr Child Health. 2013;49(9):E434-7.

28. Dietz FR. The genetics of idiopathic clubfoot. Clin Orthop Rel Res. 2002;401:39-48.

29. Engell V, Nielsen J, Damborg F, et al. Heritability of clubfoot: a twin study. J Child Orthop. 2014;8(1):37-41.

30. Lochmiller C, Johnston D, Scott A, et al. Genetic epidemiology study of idiopathic talipesequinovarus. Am J Med Genet. 1998;79:90-6.

31. Honein MA, Paulozzi LJ, Moore CA. Family history, maternal smoking, and clubfoot: an indication of a gene-environment interaction. Am J Epidemiol. 2000;152:658-65.

32. Hecht JT, Ester A, Scott A, Wise CA, et al. NAT2 variation and idiopathic talipesequinovarus (clubfoot). Am J Med Genet A. 2007;143:2285-91.

33. Dickinson KC, Meyer RE, Kotch J. Maternal smoking and the risk for clubfoot in infants. Birth Defects Res A Clin Mol Teratol. 2008;82(2):86-91.

34. Hackshaw A, Rodeck C, Boniface S. Maternal smoking in pregnancy and birth defects: a systematic review based on 173 687 malformed cases and 11.7 million controls. Hum Reprod Update. 2011;17(5):589-604.

35. Ponseti IV. Wrodzona stopa końsko-szpotawa: leczenie metodą Ponsetiego. Seattle: Global-Help Organization; 2007. p. 1-11.

36. Kołecka E, Niedzielski K, Cukras Z, Piotrowicz M. Wrodzona stopa końsko-szpotawa – występowanie rodzinne. Chir Nardz Ruchu Ortop Pol. 2011;76(5):252-5.

37. Chapman C, Scott N, Port R. Genetics of clubfoot In Maori and Pacific people. J Med Genet. 2000;37:680-3.

38. Barker S, Chesney D, Miedzybrodzka Z, Maffuli N. Genetics and epidemiology of idiopatic congenital talipes equinovarus. J Pediatr Orthop. 2003;(23):265-72.

39. GurnettCh, Alae F, Kruse L. Asymmetric Lower-Limb Malformations in Individuals with Homeobox PITX1 Gene Mutation. Am J Hum Gen. 2008;(7):616-22.

40. Yang H, Chung C, Nemachek W. A genetic analysis of clubfoot in Hawaii. Genet. Epidemiol. 1987;(4):299-306.

Pobrania

Opublikowane

2016-05-04

Numer

Tom 125 Nr 4 (2015): Polish Journal of Public Health

Dział

Artykuły

Licencja

Prawa autorskie (c) 2016 Polish Journal of Public Health

Creative Commons License

Praca jest udostępniana na licencji Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.