Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 6 , ISSUE 1 ( January-June, 2019 ) > List of Articles

Original Article

Attendee Profile of a Clubfoot Patient: Experiences from an Indian Ponseti Clubfoot Clinic

Vimal Kumar KH, Anil Agarwal, Obanglemla Imsong

Keywords : Attendee, Clubfoot, CTEV

Citation Information : KH VK, Agarwal A, Imsong O. Attendee Profile of a Clubfoot Patient: Experiences from an Indian Ponseti Clubfoot Clinic. J Foot Ankle Surg Asia-Pacific 2019; 6 (1):7-9.

DOI: 10.5005/jp-journals-10040-1098

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Introduction: The attendee (relatives) profile of clubfoot child for initiating treatment is probably a gross measure of family responsibility and social awareness regarding the disease in Indian circumstances. We conducted a prospective pilot study with primary research question “Who brings the clubfeet patient to the clubfeet clinic?” Further, the patients were followed up to 7 visits to see any gross changes in the attendee trend. The involvement of second-degree relatives was also closely monitored. Materials and methods: The CURE counselors recorded the relatives accompanying the newly enrolled clubfoot patients (July–December 2017). Patients already in follow-up, with irregular follow-up, lost to follow-up, and not willing to participate in the study were excluded. For the purpose of statistical analysis, the total opportunities to accompany patient (100 patients × 7 visits = 700 occasions) were taken as the base measurement. Results: Out of 100 studied patients, only 39 children sought treatment within 6 weeks. Mother accompanied the child most (88.5%) followed by father (71.7%) (p < 0.000001). Both parents accompanied the child on 62.4% occasions. The second-degree relatives accompanied the child on 32.7% occasions (p < 0.000001). The most persistent attendee over 7 weeks was child's mother, followed by father and next by parents together. The second-degrees relatives were least persistent of all. Conclusion: Our study showed a high percentage of parental participation and its persistence during the casting phase of Ponseti method in Indian clubfoot children. There seems to be a lot of scope for further community education and awareness in view of the relatively older child being brought for treatment and lesser involvement of second-degree relatives.


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  1. Gadhok K, Belthur MV, et al. Qualitative assessment of the challenges to the treatment of idiopathic clubfoot by the Ponseti method in urban India. Iowa Orthop J 2012;32:135–140.
  2. Botchway H, Belinda A, et al. Parents/caregivers perception about the management of clubfoot: the case of St. John of God Hospital. Intl Jrnl of Innovative Research in Edu Tech and Social Strategies 2016;2:85–94.
  3. Kazibwe H, Struthers P. Barriers experienced by parents of children with clubfoot deformity attending specialised clinics in Uganda. Trop Doct 2009;39:15–18. DOI: 10.1258/td.2008.080178.
  4. Lu N, Zhao L, et al. From cutting to casting: impact and initial barriers to the Ponseti method of clubfoot treatment in China. Iowa Orthop J 2010;30:1–6.
  5. History of CURE-Club Foot India (2016), http://clubfootindia.in/about-us/, (assessed September 24, 2017).
  6. Sharma P, Verma R, et al. Analysis of the effectiveness of a non-governmental organization in supporting clubfoot clinic at a tertiary care center. SICOT J 2015;1:8. DOI: 10.1051/sicotj/2015008.
  7. Wynne-Davies R. Family studies and the cause of congenital club foot talipes equinovarus, talipes calcaneo-valgus and metatarsus varus. J Bone Joint Surg Br 1964;46:445–463. DOI: 10.1302/0301-620X.46B3.445.
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