A Four-year Review of Delayed Initial Treatment of Patients with Congenital Talipes equinovarus in a General Hospital
- Author:
Yoyos DI
- Publication Type:Journal Article
- Keywords:
CTEV;
delayed initial treatment;
prevention of poor outcome
- MeSH:
Clubfoot
- From:Malaysian Orthopaedic Journal
2015;9(1):11-13
- CountryMalaysia
- Language:English
-
Abstract:
Congenital Talipes Equinovarus (CTEV), or club foot, is a
common congenital orthopaedic abnormality of the foot. ,
which is easily diagnosed but difficult to treat perfectly.
Controversy in terms of its etiology, classification and
management continues to exist. Delayed initial treatment in
patients with clubfoot has a strong correlation with a poor
outcome. The purpose of this study was to review the
factors that influence the outcome in patients who get
delayed initial treatment at Hasan Sadikin General Hospital
so that poor outcome can be prevented. We reviewed the
medical records of 15 patients (23 feet) during the period
from January 2009 to December 2013 and analysed various
factors including gender, age at time of first treatment, type
of disorder, the level of success of non-surgical therapy,
parent education level, family income and accessibility to
health care centre. CTEV was more common in girls in our
patients who were in the 6-12 months age group. The most
common type of CTEV was the flexible type. Treatment
with serial casting produced good results in most patients.
The majority of parents’ educational level was junior high
school and had 2-5 million/month income. The accessibility
of patients to health care centre was difficult.
- Full text:P020150525582771382190.pdf
