Besselaar Arnold T, Kamp Maud C, Reijman Max, van der Steen Marieke
Department of Orthopaedic Surgery, Catharina Hospital Eindhoven.
Orthopaedic Center Máxima, Máxima Medical Center, Eindhoven, The Netherlands.
J Pediatr Orthop B. 2018 Nov;27(6):563-567. doi: 10.1097/BPB.0000000000000525.
The incidence of clubfoot patients is an important factor for centralization of care. Medical records of 21 accredited clubfoot centers were selected using the diagnosis treatment codes and checked to confirm diagnosis. All idiopathic clubfoot cases born during 2013-2014 were analyzed with respect to sex, affected foot, regional distribution, and seasonal variation. Among the 346 522 live births, 377 idiopathic clubfoot cases were registered. The incidence of the congenital idiopathic clubfoot in the Netherlands during 2013 and 2014 was 1.09 per 1000 live births, indicating that every year, ~200 children with one or two clubfeet are born in the Netherlands. On the basis of this finding, we can start to refine clubfoot care.
马蹄内翻足患者的发病率是医疗集中化的一个重要因素。利用诊断治疗编码选取了21家经认可的马蹄内翻足治疗中心的病历，并进行核对以确认诊断。对2013年至2014年出生的所有特发性马蹄内翻足病例进行了性别、患足、地区分布和季节变化方面的分析。在346522例活产儿中，登记了377例特发性马蹄内翻足病例。2013年和2014年荷兰先天性特发性马蹄内翻足的发病率为每1000例活产儿中有1.09例，这表明荷兰每年约有200名患单侧或双侧马蹄内翻足的儿童出生。基于这一发现，我们可以开始优化马蹄内翻足的治疗。
