CONGENITAL ANOMALIES LL 2010-aNNUAL CONF

Incidence of congenital anomalies of lower limb in Tata Main Hospital : 

Incidence of congenital anomalies of lower limb in Tata Main Hospital J K Laik,DNB(Ortho)

Introduction : 

Introduction 3% of newborns have a "major physical anomaly", with cosmetic or functional significance. Brain -10 per 1000 live births Heart at 8 per 1000 Kidneys at 4 per 1000 Limbs at 1 per 1000 Other physical anomalies 6 per 1000 live births.

AIM and objective : 

AIM and objective To study the incidence of lower limb anomaly

Materials and methods : 

Materials and methods Prospective study Study period-Apr ‘09-Mar’10 All live born babies delivered at Tata Main Hospital were included Babies born with neuro-mascular anomalies were excluded

Materials and methods : 

Materials and methods Screening of all newborns by paediatrician for DDH(Barlow’s test),CTEV or any other obvious deformity Examination for associated abnormality All cases with deformity were examined by ortho-surgeon

Results : 

Results Total no. of newborn 3459 in 2009-10 56% were females and 44% were males 0.46% had congenital lower limb anomaly

Lower limb anomalies : 

Lower limb anomalies

Incidence/1000 live births : 

Incidence/1000 live births

Review of literature : 

Review of literature

Slide 10: 

Review of literature

CTEV : 

CTEV

CTEV : 

CTEV Front view From back

Congenital vertical talus : 

Congenital vertical talus CVT PLAIN X RAY

Congenital hyperextension knee : 

Congenital hyperextension knee Case -1(uniLATERAL) CASE -2 (BILATERAL)

Case 2 : 

Case 2

1 yr. follow up : 

1 yr. follow up

Post manipulation-1 week : 

Post manipulation-1 week CDK Full correction could not be achieved Will require surgery after 6 mon

Calcaneo-valgus feet : 

Calcaneo-valgus feet

Conclusion : 

Conclusion Congenital anomalies are rare Early diagnosis and intervention can give the child a normal mechanical axis without surgical intervention

Slide 21: 

Thank you