Descriptive Epidemiology of Congenital Clubfoot Deformity in Sri Lanka.

A retrospective descriptive study was conducted, based on database of Sri Lanka Clubfoot Program, under theInternational Clubfoot Registry. Patients with Clubfoot deformity treated at Orthopaedic unit of Lady Ridgeway Children's Hospital (LRCH), Sri Lanka were evaluated from June 2012 to March 2015. There were a total of 354 patients with male: female ratio of 2.7:1. Bilateral deformity was detected in 48% (171) with positive family history in 14% (49). Majority was hospital births (95%) and 14% were preterm deliveries-pregnancy, and birth-related complications were found in 28.5% (101) and 11% (39), respectively. Cause of clubfoot was idiopathic in 87% (309) and syndromic in 13%. None of the mothers were smoker; three mothers have consumed alcohol during pregnancy. No significant associations among sex of the patient, laterality of clubfoot and the cause of the clubfoot, and there was no seasonal variation among births of clubfoot patients.