Alomran AK, Alzahrani BA, Alanazi BS, Alharbi MA, Bojubara LM, Alyaseen EM. Prevalence and associated factors of clubfoot in the eastern province of Saudi Arabia: A hospital-based study. World J Orthop 2024; 15(7): 635-641 [PMID: 39070938 DOI: 10.5312/wjo.v15.i7.635]
Corresponding Author of This Article
Ammar K Alomran, MBBS, Assistant Professor, Department of Orthopedic, College of Medicine, Imam Abdulrahman bin Faisal University, King Faisal St. Dammam 34212, Saudi Arabia. aomran@iau.edu.sa
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Orthop. Jul 18, 2024; 15(7): 635-641 Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.635
Table 1 Characteristics of patients seen in the pediatric orthopedic clinic at King Fahad University Hospital, n (%)
Characteristic
Total, n = 42
Sex
Male
29 (69.0)
Female
13 (31.0)
Clubfoot
Bilateral
27 (64.3)
Unilateral
15 (35.7)
Right
8 (19.0)
Left
7 (16.7)
Developmental dysplasia of the hip
Yes
4 (9.5)
No
38 (90.5)
Maternal history of chronic disease
Diabetes mellitus
1 (2.4)
None
41 (97.6)
Table 2 Associated medical condition of patients seen in pediatric orthopedic clinic at King Fahad University Hospital, n (%)
Associated medical condition
Total, n = 42
Arthrogryposis
3 (7)
Hydrocephalus
3 (7)
Myelomeningocele
3 (7)
Undescended testicle
2 (4)
Sacrococcygeal teratoma
1 (2)
Spina bifida
1 (2)
Congenital insensitivity to pain syndrome
1 (2)
None
28 (67)
Table 3 Characteristics of patients seen in pediatric orthopedic clinic at King Fahad University Hospital
Clinical outcome
Surgical treatment (mean ± SD)
Conservative treatment (mean ± SD)
P value
Walking age (months)
15 ± 3
16 ± 4
0.01
Walking distance (meters)
500 ± 50
480 ± 70
0.02
Athletic participation
80%
75%
0.02
Stair climbing ability
Good
Good
0.01
Foot pain complaint
30%
27%
0.02
Table 4 Significant risk factors and their statistical significance
Risk factor
Number of cases
SD
P value
Parental consanguinity
36
4.2
0.045
Prolonged labor (> 24 hours)
33
3.9
0.021
Breech presentation
17
2.8
0.072
Presence of neuromuscular conditions
28
4.0
0.032
Citation: Alomran AK, Alzahrani BA, Alanazi BS, Alharbi MA, Bojubara LM, Alyaseen EM. Prevalence and associated factors of clubfoot in the eastern province of Saudi Arabia: A hospital-based study. World J Orthop 2024; 15(7): 635-641