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TITLE:

PREVALENCE AND EPIDEMIOLOGICAL DESCRIPTION OF CLUBFOOT AT KING SAUD MEDICAL CITY RIYADH, SAUDI ARABIA

AUTHORS:

Dr. Jameel .H. Fakeeha, Dr. Abdullah Essa Alessa, Mohammed Hamad Alshathri, Musaad Salem Alkhaldi, Abdulaziz Nasser Althunayyan

ABSTRACT:

Objective: Clubfoot is a burden affecting 150,000 newborns every year. This study looks at the prevalence of clubfoot at King Saud Medical City (KSMC) and examine the risk factors associated with developing clubfoot in Saudi Arabia. Data collection method: The date collected through the medical system (Medisys) and the database of the orthopedic department and obstetric and gynecology department at King Saud Medical City to determine the prevalence of club foot using the births recorded from 2015 to 2019 and reviewing their medical files to determine if they are affected by clubfoot. Additionally, the epidemiological description of Saudi clubfoot patients was attained by collecting a sample of 100 patients from the clubfoot clinic database for the patients following up from 2015 to 2019 at KSMC. Results: A total of 18515 births at King Saud Medical City from 2015-2019 were evaluated and was found that 42 patients were affected by clubfoot resulting in a birth prevalence of 2.3 per 1000 (0.23%) among Saudis at KSMC. The epidemiological description of 100 patients seen in the clubfoot clinic at KSMC from Saudi Arabia resulted in finding that 48% of the cases affected bilaterally and 52% affected unilaterally and right foot 27%. And we found 2% of the cases have undescended testicle and 85% not associated with syndromes. Conclusion: This study estimates the prevalence of clubfoot in Saudi Arabia to be 2.3/1000. Additionally, the findings support the data reported in the literature that males are more affected by clubfoot than females with twice the likelihood that males will be affected by clubfoot. Factors increasing the prevalence of clubfoot can be consanguineous marriages as seen in the Saudi population. This study will provide an initial look about club foot in Saudi Arabia which can build a base for future studies. Key words: Clubfoot, congenital talipes equinovarus, talipes equinovarus, CTEV, TEV, epidemiology, prevalence, risk factors

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