Vascular deficiencies and reduced perfusion of the anterior tibial artery and the dorsalis pedis artery were suggested as causes of congenital talipes equino varus (CTEV). In this study, we assessed the prevalence of arterial abnormalities in patients with CTEV (50 patients; 74 feet) compared with a normal control group (16 patients; 32 feet) by Doppler ultrasound and Ankle Brachial Index. The flow was normal in the control group and was deficient in 39.19% of clubfoot patients. In severe clubfoot cases, the deficiency was found to an extent of 76.67%. In conclusion, the anterior tibial artery and dorsalis pedis artery are deficient in CTEV patients; to avoid postoperative skin sloughing, arterial supply must be protected using a judicious incision.
Departments of aOrthopaedics and Traumatology
bRadiology, Faculty of Medicine
cFederal Ministry of Health
dFaculty of Mathematical Sciences, University of Khartoum, Khartoum, Sudan
eChildrens’ Orthopaedic Centre, Mumbai, India
Correspondence to Samir Shaheen, MD, Department of Orthopaedics and Traumatology Faculty of Medicine, University of Khartoum, P.O. Box 102, Khartoum 1111, Sudan Tel: +249 155 662 030; fax: +249 157 795 224; e-mail: firstname.lastname@example.org