Background: Congenital talipes Equinovarus (CTEV) is one of the most common congenital anomalies of the lower extremity with an incidence rate of 1-2 per 1000 live births. Diagnosis is mostly by history and clinical evaluation. The Ponseti method of clubfoot management is accepted worldwide as the most ideal treatment for CTEV. Findings regarding maternal age and parity of the mother have been inconsistent and relate differing associations with idiopathic CTEV.

Objectives: To evaluate the factors like maternal age and order of pregnancy and their association with the prevalence and severity of CTEV in a geographically defined population

Methods: This was an observational descriptive cross-sectional study done among 173 children with CTEV deformity. The subjects were selected as per inclusion criteria. Data collected were analyzed using SPSS.

Results: The prevalence of CTEV was predominant in male children (67.1%). CTEV child born from mothers in the age group of 18-25 years constitutes 63% of all. The majority of CTEV babies (60%) were born in the first birth order of mother. No association between birth order and the association between isolated/multiple congenital defects with CTEV has been determined in our study setting (p=0.30)

Conclusion: Early maternal age-related to the high prevalence of children born with clubfoot deformity. The severity of clubfoot was assessed with the Pirani score for both feet when compared with the birth order of the child, the results were statistically not significant.

Keywords: Congenital Talipes Equinovarus, Clubfoot, Pirani score, Ponseti method.

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Pabitra Kumar Sahoo

Associate Professor, Dept. of PMR, Swami Vivekananda National Institute of Rehabilitation Training and Research (SVNIRTAR), Olatpur, Cuttack, Odisha, India-753014