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Incidence of congenital idiopathic clubfoot in the Netherlands

Besselaar, Arnold T.a,b,*; Kamp, Maud C.a,*; Reijman, Maxb; van der Steen, Mariekea

Journal of Pediatric Orthopaedics B: November 2018 - Volume 27 - Issue 6 - p 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.

aDepartment of Orthopaedic Surgery, Catharina Hospital Eindhoven

bOrthopaedic Center Máxima, Máxima Medical Center, Eindhoven, The Netherlands

*Arnold T. Besselaar and Maud C. Kamp contributed equally to the writing of this article.

Correspondence to Arnold T. Besselaar, MD, Maxima Medical Center, Postbus 7777, 5500 MB Veldhoven, The Netherlands Tel: +31 408 888 620; fax: +31 408 888 609; e-mail:

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