Imam Hussain, Muhammad Osama, Reem Javed Malik.
Congenital foot anomalies; frequency among children reporting at Chal foundation, Swabi, Pakistan.
Professional Med J Jan ;24(1):139-43.

Background: Congenital foot anomalies affect a large number of children throughout the world. Rehabilitation of these anomalies is expensive and time consuming. There are many factors responsible for these anomalies. Incidence of these anomalies varies in different areas of the world. The aim of this study is to determine the frequency of congenital foot anomalies among children reporting at Chal foundation, Swabi, Pakistan. Study Design: A cross sectional descriptive study. Setting: Chal Foundation, Swabi, Pakistan. Period: October 2012 – October 2014. Methodology: Sample was selected using the convenience sampling technique. A total of 1141 patients visited the center, out of which 408 cases of congenital foot anomalies. Patient demographics including name, age, gender and district along with diagnosis and side involvement was noted, and analyzed on SPSS v21.0. Results: A sample of 408 patients was taken from which 70.3% were males and 29.7% were females. The mean age of the patients was 4.47 years at the time of visit. Only 5.9% cases were reported within the first year after birth. Right side foot anomaly was observed in 23.8% cases and 20.3% cases had left side foot anomaly. Bilateral anomaly was observed in 55.9% cases. Among the 408 cases, the most often reported was CTEV, observed in 79.7% cases. The second most common anomaly was pes planus, observed in 8.8% cases. Conclusion: Congenital foot anomalies are common musculoskeletal anomalies affecting a large number of children, the most prevalent of which is CTEV. Unfortunately few people seek management in time either due to lack of facilities or awareness. Prevalent cousin marriages in the society may also play an influential role in increased risk of such anomalies to occur. Many of these anomalies can be managed conservatively with physical therapy and orthotics if reported in due time. Attention should be paid on educating people regarding identification and timely management of such conditions.

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