Congenital Foot Anomalies: a Study of 466 Cases in one Centre in Côte d'Ivoire

Abstract

Abstract objective: To describe the epidemiological and clinical patterns of congenital foot anomalies seen in one hospital in Côte d'Ivoire.

Patients and Methods: This was a retrospective hospital-based study of all children aged 15 years and below who were scene with congenital foot anomalies from January 1, 2000 to December 31, 2006, at the paediatric surgery department of Yopougon teaching hospital in Abidjan, Cote d'Ivoire. Their charts were reviewed for material obstetrical history putionts 2 demographic and biometric neonatal data, time intervals before for diagnosis, clinical and radiographic presentations, treatment undertaken and outcome.

Results: A total of 466 congenital foot anomalies (CFA) in 330 patients were identified among 1.490 congenital disorders in a period when the number of live births was 235,161.  This is resulted in a rate of 1.98 CFA per 1,000 live births The age at diagnosis ranged from way five years with a peak incidence at four years. The live most common of 11 patterns of congenital foot anomalies seen, were clubfeet in 205 144.2 percent) cases, flat feet (16,7 percent) in 78, metamsus warus (14.2 percent) in 66, equine foot (11.8 percent) in 55 and slope feet (4.9 percent) in 23. Bilateral involvement occurred in 126 patients (38.2 percent), while umbilical hernia was the most frequently associated anomaly (64.8 percent). Clubfeet were lilateral in 112 cases (54 percent), while Dimeglio grades I and II, were predominant (74.3 pervect). Treatment consisted of serial plasters for 180 patients (38.6 percent) which were combined with physiotherapy fluid surgical reduction in 143 (30.7 percent) and 25 cases (5.4 percent), respectively.

Conclusion: Congenital foot anomalies were frequent and their clinical expression was classical in our study

Keywords: Congenital foot anomalies, club foot, conservative treatment.