FACTORS ASSOCIATED WITH RECURRENCE CLUBFOOT

Background: Clubfoot is an intricate deformity of ankle and foot involving bony mal-alignment, adduction of forefoot, and hind-foot Varus, cavus, and equines caused by contracture of soft tissues. The many factor contribute to relapse of clubfoot, are neglected when advise the Proper pan of care. Objective: To find the association of clubfoot recurrence with no proper exercise and improper fitting of Denis Browne splint shoe. Materials & Methods: A cross sectional study was conducted at PIPOS Rehabilitation Service Program (PRSP), Peshawar. The data was collected from a sample of n=300 patients in Pakistan Institute of Prosthetic and Orthotic Science. The non-probability convenient sampling technique was used for data collection. The duration of the study was 6 months (April 2019 to October 2019). The male and female recurrent clubfoot children whose are either infant or till the age of 6 and registered in PRSP. The data collection was done through an international club foot registry form and self structured questionnaire. The results are presented in term of descriptive statistics and Chi-Square test was also performed to assess club foot and other variable association with each other. Results: The result showed n=110(37.3%) participants reported they had no proper fitting of Denis Browne Splint shoe (DBS) and n=97(32.3%) showed they underwent no proper exercise follow up. There was significant association of club foot recurrence with improper fitting of DBS (p<0.001) and no proper exercises (p=0.02). Conclusion: The study indicated that without proper exercises and in appropriate fitting of DBS may lead to recurrence of club foot. Keywords: Congenital Talipes Equinovarus, Clubfoot, Denis Browne Splint, Ponseti method