Year 2014 Vol. 22 No 2

TRAUMATOLOGY AND ORTHOPEDICS

V.P. DEYKALO 1, G.V. DIVOVICH 2

EPIDEMIOLOGY OF CONGENITAL CLUBFOOT AMONG CHILDREN’S POPULATION OF GOMEL REGION

EE “Vitebsk State Medical University” 1,
EE “Gomel State Medical University” 2,
The Republic of Belarus

Objectives. To study the prevalence and the structure of a congenital clubfoot among children of Gomel region of the Republic of Belarus.
Methods. We have analyzed medical records in the orthopedic and trauma consultative offices of Gomel regional policlinic, Gomel central city children's policlinic and in its branches No. 1 and No. 4 as well as the card files of clubfoot patients in Gomel branch of the Belarusian orthopedic regenerative center, documents of Gomel regional specialized orthopedic medico-rehabilitation commission of experts during the period from 2000 to 2012 yrs. The data on cases reports of a congenital clubfoot, a child’s sex, side of deformity localization have been included in the research base.
Results. The data statistical analysis concerning cases of a congenital clubfoot has shown the following: the number of children with a congenital clubfoot regarding to the relation of the total number of newborns in Gomel region on the average makes 0,06% (varying on years from 0,02% to 0,09%); 0,63 cases of a congenital clubfoot are the share of one thousand newborns; on every 1585 childbirth there is one case of a clubfoot. This defect does seem to have an increased incidence in boys than in girls (2,8:1). There is one case of a congenital clubfoot out of 1089 boys and there is one case of a congenital clubfoot out of 3054 girls. Club foot (unilateral and bilateral) is a condition which affects children, more often males than females, and generally at birth, bilateral forms of disease dominate among girls.
Conclusion. In Gomel region (the Republic of Belarus) the incidence of clubfoot children birth, the correlation of this pathology occurrence according to sex and the side of lesion are correlated with the information on the prevalence and structure presented in literature. The results of this study are considered to be representative and can be used for studying of the problem of a clubfoot in the other regions of Belarus.

Keywords: congenital clubfoot, equino-varus deformity of foot, congenital deformity of foot, prevalence of a congenital clubfoots
p. 207 – 212 of the original issue
References
  1. Lechenie kosolaposti po metodu Ponseti [Treatment of clubfoot with the Ponseti method]. Rezhim dostupa: ponseti.ru/methods/treatment/
  2. Ponseti IV. Congenital clubfoot: fundamentals of treatment. New York: Oxford University Press; 1996. p. 140
  3. Fridland MO. Ortopediia [Orthopedy]. Moscow, RF: Medgiz; 1954.508 p.
  4. Gafarov X3. Lechenie deformatsii stop u detei [Treatment of foot deformities in children]. Kazan', RF: Tatarskoe kn. izd-vo; 1990. 176 p.
  5. Novachenko NP, Bogdanov FR red. Boichev B, Volkov MV, Volkov MV, Dedova VD, Trubnikov VF. Mnogotomnoe rukovodstvo po ortopedii i travmatologii [Multivolume guide. Orthopedics and traumatology]: [v 3 t.] T.2: Ortopediia. Moscow, RF: Meditsina; 1968. 770 p.
  6. Vreden R R. Prakticheskoe rukovodstvo po ortopedii [Practical guide to orthopedics]. Leningrad, RF; 1936. 604 p.
  7. Zatsepin TS. Ortopediia detskogo i podrostkovogo vozrasta [Orthopedics in childhood and adolescence]. Moscow, RF: Medgiz; 1956. 320 p.
  8. Bogoraz NA. Vosstanovitel'naia khirurgiia [Reconstructive surgery]: v 2 t. Moscow, RF: Medgiz; 1949;(20):680 p.
  9. Mirzoeva II, Koniukhov MP. Ortopediia detei pervogo goda zhizni [Orthopedics of infants]. Leningrad, RF: Meditsina; 1983. 128 p.
  10. Usoskina RIa, Krumin' KA, Seglin' TIa. Ambulatornoe lechenie detei s ortopedicheskimi zabolevaniiami [Outpatient treatment of children with orthopedic diseases]. Leningrad, RF: Meditsina; 1979. 256 p.
  11. Chaklin VD. Ortopediia [Orthopedy] (v 2-kh knigakh).-Moscow, RF: Medgiz; 1957. 798 p.
  12. Klychkova IIu, Koniukhov MP. Mironov SP, Kotel'nikova GP, red. Vrozhdennaia kosolapost'. Ortopediia [Congenital clubfoot. Orthopedy]: nats ruk. Moscow, RF: GEOTAR-Media; 2011;(gl 6):192–04 p.
  13. Blandinskii VF i dr. Lechenie atipichnoi vrozhdennoi kosolaposti metodom Ponseti [Treatment of atypical clubfoot by the Ponseti method]. Travmatol i Ortoped Rossii. 2010;(1):75–79.
  14. Natsional'nyi statisticheskii komitet Respubliki Belarus' [National statistical committee of the Republic of Belarus]. (Elektronnyi resurs). belstat.gov.by/
  15. Vasil'kov NA. i dr Analiz mediko-demograficheskikh pokazatelei naseleniia Gomel'skoi oblasti [Analysis of medical and demographic values of the population of Gomel region]. Vopr Organizatsii i Informatizatsii Zdravookhraneniia. 2011;(3):4–11.
Address for correspondence:
246050, Respublika Belarus', g. Gomel', ul. Lange, d. 5, UO «Gomel'skii gosudarstvennyi meditsinskii universitet», kafedra travmatologii, ortopedii i VPKh,
e-mail: divovich_gol@mail.ru,
Divovich Gennadii Vladimirovich
Information about the authors:
Deykalo V.P. MD, professor, Rector of EE “Vitebsk State Medical University”.
Divovich G.V. An assistant of the traumatology, orthopedics and military field surgery chair of EE “Gomel State Medical University”.
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