Index Copernicus IC Value: 89.62
Edorium Journal of

Disability and Rehabilitation

 
     
Original Article
 
Treatment of congenital clubfoot and its outcome in Mekelle hospital, Tigray, Ethiopia
Hafte Teklay1, Yared Asmare2, Manay Kifle3, Mebrahtom Abraha4, Zeray Baraki5, Berihu Fissiha6, Gebremedhin Hagos7, Dejen Gezehegn8
1Lecturer of Human Anatomy, Department of Biomedical Sciences, College of health Sciences and Referral hospital Aksum University, Aksum, Ethiopia
2Lecturer of Human Anatomy, Department of Human Anatomy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
3Lecturer of Public Health, Department of Public Health, College of Health Sciences and Referral Hospital Aksum University, Aksum, Ethiopia
4Assistant Professor of Internal Medicine, School of Medicine, College of Health Sciences and Referral Hospital Aksum University, Aksum, Ethiopia
5Lecturer of Pediatric and Child Health Nursing, Department of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
6Assistant Professor of Physiotherapy, Department of Physiotherapy, College of Health Sciences, Mekelle University, Mekelle, Ethiopia, Department of Biomedical Sciences, College of Health Sciences and Referral Hospital Aksum University, Aksum, Ethiopia
7MSc in Physiology Department of Biomedical Sciences, College of Health Sciences and Referral Hospital Aksum University, Aksum, Ethiopia
8MSc in General Public Health HIV and SRH Directorate, Aksum University, Ethiopia

Article ID: 100035D05HT2018
doi: 10.5348/D05-2018-35-OA-1

Corresponding Author:
Hafte Teklay,
Aksum, Tigray, Ethiopia,
Condominium University road,
P. O. Box: 298
Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article
Teklay H, Asmare Y, Kifle M, Abraha M, Baraki Z, Fissiha B, Hagos G, Gezehegn D. Treatment of congenital clubfoot and its outcome in Mekelle hospital, Tigray, Ethiopia. Edorium J Disabil Rehabil 2018;4:1–7.


ABSTRACT

Aims: Congenital clubfoot is a deformity of the lower extremity manifested by foot adduction/inversion, cavus and plantar flexion. Its incidence varies within 0.5–7 per 1000 live births worldwide. Genetic predisposition, environmental factors and combination of them are assumed to have etiological factor. A number of trials have been made to cure clubfoot long years ago. But none of them was as effective as the Ponseti method which is better for success rate and the outcome is affected by many factors. Early diagnosis and treatment should be the main paradigms to decrease the risk of physical disability due to clubfoot. The study was aimed at assessing the practice of management and its outcome.
Methods: Facility based retrospective medical record assessment was carried out. The retrieved and qualified data was entered into statistical package for the social sciences for analysis and then output is described and discussed.
Results: The basic Ponseti principles and guidelines were practiced in Mekelle hospital considering some limitations. Physiotherapists were the health professionals who make all the clinical decision makings in the setup. The incidence of case relapse was 14.7%, and the rate of tenotomy was 70.6%. However, the facility scored overall success rate of 77.9%.
Conclusion: In Mekelle hospital, basic principles and guidelines of Ponseti method were practiced with some deviations. The rate of relapse and failure is also slightly higher. Deep social awareness about clubfoot management, grading the rate of tenotomy and reducing the treatment side effect is mandatory to achieve good outcome.

Keywords: Congenital clubfoot, Mekelle, Ponseti method, Treatment outcome


[HTML Full Text]   [PDF Full Text]

Acknowledgements
Our acknowledgement goes to the University of Gondar, college of medicine and health sciences, Mekelle hospital physiotherapy clinic workers, that this work would have been impossible without their cooperation. We are grateful for the valuable contribution of the bureau of road and transport, Aksum branch as it provided us the list of distance of each city from Mekelle.
Author Contributions
Hafte Teklay – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Yared Asmare – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Manay Kifle – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mebrahtom Abraha – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Zeray Baraki – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Berihu Fissiha – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Gebremedhin Hagos – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Dejen Gezehegn – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Hafte Teklay et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



  Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map  
  Copyright © 2018. Edorium. All rights reserved.