CTEV: Pre-natal diagnosis and its impact of treatment

Author(s): Dr. Sham Sunder, Dr. Sajid Salman, Dr. Mohammed Jalal Mohiuddin, Dr. Meer Misbahuddin and Dr. Md. Ahmed HS

Abstract: CTEV (Congenital Talipes Equinovarus) is one of the common musculoskeletal deformities in newborn. The incidence is about 1/1000 population. Prenatal diagnosis is possible many times in TIFFA scan (Targeted Imaging for Fetal Anomalies). Ultrasound being the observer-dependent, its common to miss the club foot during the antenatal scan. Antenatal detection of CTEV ranges from 20 % to 80% of cases. Antenatal detection helps the parent to prepare psychologically and seek treatment early. This definitely increases the early recovery of the deformity and reduces the stress over the parents. In a presented study of 53 patients with CTEV at the time of birth, 18 patients had antenatal diagnosis, the mean time from the birth to the first plaster was 6.67 days in patients with antenatal diagnosis when compared to 10.2 days in another group where no antenatal diagnosis was made. The conclusion was that the patient whom the antenatal diagnosis is made, seek treatment early and get treated early with relatively less number of casts.

DOI: https://doi.org/10.22271/ortho.2021.v7.i1d.2485