Skip to main content
Top
Published in: International Orthopaedics 2/2009

01-04-2009 | Original Paper

Congenital talipes equinovarus in Papua New Guinea: a difficult yet potentially manageable situation

Authors: A. D. Culverwell, C. R. Tapping

Published in: International Orthopaedics | Issue 2/2009

Login to get access

Abstract

Reports in the literature have suggested a high incidence of congenital deformities, including congenital talipes equinovarus (CTEV), in many Pacific Islands. This study performed a retrospective analysis of cases of CTEV in an isolated region of Papua New Guinea over a 2-year period. Data was collected on the incidence of CTEV, together with an analysis of initial treatment and outcome. The incidence of CTEV was 2.7 per 1,000 live births per year. A peak incidence of CTEV births in September suggested that maternal anaemia secondary to malaria was a significant risk factor. Good functional outcome was confirmed in only 20% of cases following initial treatment. The authors suggest the Ponseti method as a realistic option for treating CTEV in this region and that it could be instigated with minimal resources and training.
Literature
1.
go back to reference Abdelgawad AA, Lehman WB, van Bosse HJ, Scher DM, Sala DA (2007) Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up. J Pediatr Orthop Br 16:98–105 Abdelgawad AA, Lehman WB, van Bosse HJ, Scher DM, Sala DA (2007) Treatment of idiopathic clubfoot using the Ponseti method: minimum 2-year follow-up. J Pediatr Orthop Br 16:98–105
2.
go back to reference Allen BJ (2002) Birthweight and environment at Tari. P N G Med J 45:88–98PubMed Allen BJ (2002) Birthweight and environment at Tari. P N G Med J 45:88–98PubMed
3.
go back to reference Barker SL, Macnicol MF (2002) Seasonal distribution of idiopathic congenital talipes equinovarus in Scotland. J Pediatr Orthop Br 11:129–133CrossRef Barker SL, Macnicol MF (2002) Seasonal distribution of idiopathic congenital talipes equinovarus in Scotland. J Pediatr Orthop Br 11:129–133CrossRef
4.
go back to reference Beals RK (1978) Club foot in the Maori: a genetic study of 50 kindreds. N Z Med J 88:144–146PubMed Beals RK (1978) Club foot in the Maori: a genetic study of 50 kindreds. N Z Med J 88:144–146PubMed
5.
go back to reference Brabin B, Piper C (1997) Anaemia- and malaria-attributable low birthweight in two populations in Papua New Guinea. Ann Hum Biol 24:547–555PubMedCrossRef Brabin B, Piper C (1997) Anaemia- and malaria-attributable low birthweight in two populations in Papua New Guinea. Ann Hum Biol 24:547–555PubMedCrossRef
6.
go back to reference Byron-Scott R, Sharpe P, Hasler C, Cundy P, Hirte C, Chan A, Scott H, Baghurst P, Haan E (2005) A South Australian population-based study of congenital talipes equinovarus. Paediatr Perinat Epidemiol 19:227–237PubMedCrossRef Byron-Scott R, Sharpe P, Hasler C, Cundy P, Hirte C, Chan A, Scott H, Baghurst P, Haan E (2005) A South Australian population-based study of congenital talipes equinovarus. Paediatr Perinat Epidemiol 19:227–237PubMedCrossRef
7.
go back to reference Carey M, Mylvaganam A, Rouse I, Bower C (2005) Risk factors for isolated talipes equinovarus in Western Australia, 1980–1994. Paediatr Perinat Epidemiol 19:238–245PubMedCrossRef Carey M, Mylvaganam A, Rouse I, Bower C (2005) Risk factors for isolated talipes equinovarus in Western Australia, 1980–1994. Paediatr Perinat Epidemiol 19:238–245PubMedCrossRef
8.
go back to reference Chapman C, Stott NS, Port RV, Nicol RO (2000) Genetics of club foot in Maori and Pacific people. J Med Genet 37:680–683PubMedCrossRef Chapman C, Stott NS, Port RV, Nicol RO (2000) Genetics of club foot in Maori and Pacific people. J Med Genet 37:680–683PubMedCrossRef
9.
go back to reference Cummings RJ, Davidson RS, Armstrong PF, Lehman WB (2002) Congenital clubfoot. An instructional course lecture, American Academy of Orthopedic Surgeons. J Bone Joint Surg Am 84:290–308PubMed Cummings RJ, Davidson RS, Armstrong PF, Lehman WB (2002) Congenital clubfoot. An instructional course lecture, American Academy of Orthopedic Surgeons. J Bone Joint Surg Am 84:290–308PubMed
10.
go back to reference Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA (2004) Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am 86:22–27PubMed Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA (2004) Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am 86:22–27PubMed
11.
go back to reference Dryden R (1997) Birth defects recognized in 10,000 babies born consecutively in Port Moresby General Hospital, Papua New Guinea. P N G Med J 40:4–13PubMed Dryden R (1997) Birth defects recognized in 10,000 babies born consecutively in Port Moresby General Hospital, Papua New Guinea. P N G Med J 40:4–13PubMed
12.
go back to reference Duke T (2004) Slow but steady progress in child health in Papua New Guinea. J Paediatr Child Health 40:659–663PubMedCrossRef Duke T (2004) Slow but steady progress in child health in Papua New Guinea. J Paediatr Child Health 40:659–663PubMedCrossRef
13.
go back to reference Genton B, Baea K, Lorry K, Ginny M, Wines B, Alpers MP (2005) Parasitological and clinical efficacy of standard treatment regimens against Plasmodium falciparum, P. vivax and P. malariae in Papua New Guinea. P N G Med J 48:141–150PubMed Genton B, Baea K, Lorry K, Ginny M, Wines B, Alpers MP (2005) Parasitological and clinical efficacy of standard treatment regimens against Plasmodium falciparum, P. vivax and P. malariae in Papua New Guinea. P N G Med J 48:141–150PubMed
14.
go back to reference Lourenço AF, Morcuende JA (2007) Correction of neglected idiopathic club foot by the Ponseti Method. J Bone Joint Surg Br 89:378–381PubMedCrossRef Lourenço AF, Morcuende JA (2007) Correction of neglected idiopathic club foot by the Ponseti Method. J Bone Joint Surg Br 89:378–381PubMedCrossRef
15.
go back to reference Müller I, Betuela I, Hide R (2002) Regional patterns of birthweights in Papua New Guinea in relation to diet, environment and socio-economic factors. Ann Hum Biol 29:74–88PubMedCrossRef Müller I, Betuela I, Hide R (2002) Regional patterns of birthweights in Papua New Guinea in relation to diet, environment and socio-economic factors. Ann Hum Biol 29:74–88PubMedCrossRef
16.
go back to reference Ogle GD (2001) Diabetes in Papua New Guinea. P N G Med J 44:79–80PubMed Ogle GD (2001) Diabetes in Papua New Guinea. P N G Med J 44:79–80PubMed
17.
go back to reference Ponseti IV (1992) Treatment of congenital club foot. J Bone Joint Surg Am 74:448–454PubMed Ponseti IV (1992) Treatment of congenital club foot. J Bone Joint Surg Am 74:448–454PubMed
18.
19.
go back to reference Pryor GA, Villar RN, Ronen A, Scott PM (1991) Seasonal variation in the incidence of congenital talipes equinovarus. J Bone J Surg Br 73:632–634 Pryor GA, Villar RN, Ronen A, Scott PM (1991) Seasonal variation in the incidence of congenital talipes equinovarus. J Bone J Surg Br 73:632–634
20.
go back to reference Shack N, Eastwood DM (2006) Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformity. J Bone Joint Surg Br 88:1085–1089PubMed Shack N, Eastwood DM (2006) Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformity. J Bone Joint Surg Br 88:1085–1089PubMed
21.
go back to reference Steketee RW, Wirima AA, Slutsker A, Heymann DL, Breman JG (1996) The problem of malaria and malaria control in pregnancy in sub-Saharan Africa. Am J Trop Med Hyg 55:2–7PubMed Steketee RW, Wirima AA, Slutsker A, Heymann DL, Breman JG (1996) The problem of malaria and malaria control in pregnancy in sub-Saharan Africa. Am J Trop Med Hyg 55:2–7PubMed
22.
go back to reference Stewart SF (1951) Club-foot: its incidence, cause, and treatment; an anatomical-physiological study. J Bone J Surg Am 33:577–588 Stewart SF (1951) Club-foot: its incidence, cause, and treatment; an anatomical-physiological study. J Bone J Surg Am 33:577–588
23.
go back to reference Tindall AJ, Steinlechner CW, Lavy CB, Mannion S, Mkandawire N (2005) Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method: a realistic alternative for the developing world? J Pediatr Orthop 25:627–629PubMedCrossRef Tindall AJ, Steinlechner CW, Lavy CB, Mannion S, Mkandawire N (2005) Results of manipulation of idiopathic clubfoot deformity in Malawi by orthopaedic clinical officers using the Ponseti method: a realistic alternative for the developing world? J Pediatr Orthop 25:627–629PubMedCrossRef
24.
go back to reference UNICEF (2005) The State of the World’s Children 2002–2004. UNICEF publications UNICEF (2005) The State of the World’s Children 2002–2004. UNICEF publications
25.
go back to reference United Nations (2004) Multilingual demographic dictionary, English section. Department of Economic and Social Affairs Population Studies 29:E.58.XIII.4 United Nations (2004) Multilingual demographic dictionary, English section. Department of Economic and Social Affairs Population Studies 29:E.58.XIII.4
26.
go back to reference Wynn-Davies R, Littlejohn A, Gormley J (1982) Aetiology and interrelationship of some common skeletal deformities (talipes equinovarus and calcaneovalgus, metatarsus varus, congenital dislocation of the hip, and infantile idiopathic scoliosis). J Med Genet 19:321–328CrossRef Wynn-Davies R, Littlejohn A, Gormley J (1982) Aetiology and interrelationship of some common skeletal deformities (talipes equinovarus and calcaneovalgus, metatarsus varus, congenital dislocation of the hip, and infantile idiopathic scoliosis). J Med Genet 19:321–328CrossRef
Metadata
Title
Congenital talipes equinovarus in Papua New Guinea: a difficult yet potentially manageable situation
Authors
A. D. Culverwell
C. R. Tapping
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 2/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-007-0511-x

Other articles of this Issue 2/2009

International Orthopaedics 2/2009 Go to the issue