PDF(Pubmed)
Abstract：
UNASSIGNED: Neglected clubfoot deformities are very rigid & stiff that need surgical correction. Unlike countries like china, Uganda, and Malawi, no dedicated National program has been implemented for clubfoot management in India. The burden of disability from untreated or partly treated clubfoot is relatively high. With the existing issues, it has been observed that untreated clubfoot is a public health problem in most low and middle-income countries.
UNASSIGNED: To conduct an observational analysis of the community approach to the correction of neglected clubfoot by corrective rehabilitation surgery camps.
UNASSIGNED: The study included the retrospective data of all the neglected clubfoot children who had undergone clubfoot corrective surgery in 13 different remote districts of Odisha, held every year between February 2014 to October 2022 except during covid 19 pandemic period (2020 and 2021). A total of 993 clubfeet of 731 children were corrected through community approach-based corrective camp surgery. Follow-up was done for all the operated children with post-op plaster and orthosis till they returned back to the community.
UNASSIGNED: About 46.78% of study participants were within the age group of 5 years. Male presentation [454 males (62.10%)] was reportedly found 1.6 times higher than the female [277 females (37.89%)]. Most of them belonged to minor communities, socially and economically backward classes from various rural districts of eastern India. The Association of different socially backward categories of clubfoot children with the district they belonged to, was found significant statistically (p value < 0.001). When gender distribution was compared among the district where surgical camps were conducted, the association was statistically not significant (p value = 0.676).
UNASSIGNED: Neglected clubfoot in rural areas can be managed by camp approach. The establishment of a robust standard operating procedure for the conduction of community-based surgical camps may be required to reduce the morbidity level in children with neglected clubfoot.
UNASSIGNED: To conduct an observational analysis of the community approach to the correction of neglected clubfoot by corrective rehabilitation surgery camps.
UNASSIGNED: The study included the retrospective data of all the neglected clubfoot children who had undergone clubfoot corrective surgery in 13 different remote districts of Odisha, held every year between February 2014 to October 2022 except during covid 19 pandemic period (2020 and 2021). A total of 993 clubfeet of 731 children were corrected through community approach-based corrective camp surgery. Follow-up was done for all the operated children with post-op plaster and orthosis till they returned back to the community.
UNASSIGNED: About 46.78% of study participants were within the age group of 5 years. Male presentation [454 males (62.10%)] was reportedly found 1.6 times higher than the female [277 females (37.89%)]. Most of them belonged to minor communities, socially and economically backward classes from various rural districts of eastern India. The Association of different socially backward categories of clubfoot children with the district they belonged to, was found significant statistically (p value < 0.001). When gender distribution was compared among the district where surgical camps were conducted, the association was statistically not significant (p value = 0.676).
UNASSIGNED: Neglected clubfoot in rural areas can be managed by camp approach. The establishment of a robust standard operating procedure for the conduction of community-based surgical camps may be required to reduce the morbidity level in children with neglected clubfoot.
摘要：
■被忽视的马蹄内翻足畸形非常僵硬，需要手术矫正。不像中国这样的国家,乌干达，马拉维,印度尚未实施专门的国家计划来管理马蹄足。未治疗或部分治疗的马蹄内翻足造成的残疾负担相对较高。对于现有的问题,据观察，在大多数低收入和中等收入国家，未经治疗的马蹄内翻足是一个公共卫生问题。
■对社区方法进行观察性分析，以通过矫正康复手术营地矫正被忽视的马蹄足。
这项研究包括了所有被忽视的马蹄内翻足儿童的回顾性资料，这些儿童在奥里萨邦的13个不同的偏远地区接受了马蹄内翻足矫正手术，除Covid19大流行期间(2020年至2021年)外，每年在2014年2月至2022年10月期间举行。通过基于社区方法的矫正营手术，对731名儿童的993个马蹄足进行了矫正。对所有手术后使用石膏和矫形器的儿童进行了随访，直到他们返回社区。
■约46.78%的研究参与者在5岁年龄组内。据报道，男性表现[454名男性（62.10%）]比女性高1.6倍[277名女性（37.89%）]。他们大多数属于未成年人社区，来自印度东部各个农村地区的社会和经济落后的阶级。不同社会落后类别的马蹄儿童与他们所属地区的协会，发现具有统计学意义(p值<0.001)。在进行手术营的地区之间比较性别分布时，相关性无统计学意义(p值=0.676).
■农村地区被忽视的马蹄足可以通过营地方法进行管理。可能需要建立一个强大的标准操作程序来进行社区外科营地，以降低被忽视的马蹄内翻足儿童的发病率。
■对社区方法进行观察性分析，以通过矫正康复手术营地矫正被忽视的马蹄足。
这项研究包括了所有被忽视的马蹄内翻足儿童的回顾性资料，这些儿童在奥里萨邦的13个不同的偏远地区接受了马蹄内翻足矫正手术，除Covid19大流行期间(2020年至2021年)外，每年在2014年2月至2022年10月期间举行。通过基于社区方法的矫正营手术，对731名儿童的993个马蹄足进行了矫正。对所有手术后使用石膏和矫形器的儿童进行了随访，直到他们返回社区。
■约46.78%的研究参与者在5岁年龄组内。据报道，男性表现[454名男性（62.10%）]比女性高1.6倍[277名女性（37.89%）]。他们大多数属于未成年人社区，来自印度东部各个农村地区的社会和经济落后的阶级。不同社会落后类别的马蹄儿童与他们所属地区的协会，发现具有统计学意义(p值<0.001)。在进行手术营的地区之间比较性别分布时，相关性无统计学意义(p值=0.676).
■农村地区被忽视的马蹄足可以通过营地方法进行管理。可能需要建立一个强大的标准操作程序来进行社区外科营地，以降低被忽视的马蹄内翻足儿童的发病率。
