Abstract
Background and Aims: Clubfoot in Saudi Arabia is considered a public health issue. Early diagnosis and treatment of clubfoot can prevent complex reconstructive surgical treatment. Lack of general knowledge on clubfoot may be a barrier to early intervention and successful management of this condition. We aim to assess public awareness and knowledge level of clubfoot within Al-Baha region. Methods: A cross-sectional study was conducted to assess awareness and knowledge regarding clubfoot and its management among parents living in the Al-Baha region. Data collection involved the distribution of a previously validated questionnaire from November 1, 2023, to April 1, 2024. The questionnaire covered awareness and knowledge regarding clubfoot and its management. Results: A total of 474 individuals were included in the analysis. The largest age group was 40-49 years old (34.0%). The participants were primarily female, accounting for 74.9% (n≤355). Females had a higher level of knowledge than males (p≤0.037). Overall, the results indicated a relatively low level of knowledge about clubfoot, with 58.2% of the participants classified as having inadequate knowledge. 74.5% of participants were not familiar with the condition. 77% of participants would like to get more information regarding clubfoot. Conclusions: The study reveals a significant lack of awareness about clubfoot and its management in the Al-Baha region, hindering early diagnosis and treatment. Targeted awareness campaigns, leveraging social media, and collaboration with healthcare professionals are essential for educating the community and correcting misconceptions. Improving public knowledge can ensure timely care for affected children.
Keywords: Clubfoot · Awareness · Foot deformity · Talipes equinovarus · Al-Baha Region · Saudi Arabia
References
- 1.Mustari MN, Faruk M, Bausat A, Fikry A. Congenital talipes equinovarus: A literature review. Ann Med Surg (Lond). 2022;81:104394.
- 2.Smythe T, Kuper H, Macleod D, Foster A, Lavy C. Birth prevalence of congenital talipes equinovarus in lowand middle-income countries: a systematic review and meta-analysis. Trop Med Int Health. 2017;22(3):269-85.
- 3.Alomran AK, Alzahrani BA, Alanazi BS, Alharbi MA, Bojubara LM, Alyaseen EM. Prevalence and associated factors of clubfoot in the eastern province of Saudi Arabia: A hospital-based study. World J Orthop. 2024;15(7):635-41.
- 4.Esbjörnsson AC, Johansson A, Andriesse H, Wallander H. Epidemiology of clubfoot in Sweden from 2016 to 2019: A national register study. PLoS One. 2021;16(12):e0260336.
- 5.Dodwell E, Risoe P, Wright J. Factors associated with increased risk of clubfoot: A Norwegian national cohort analysis. J Pediatr Orthop. 2015;35(8):e104-9.
- 6.Kim YM, Seong JS, Kim JH, Lee NM, Choi IH, Jo Y, et al. Improving prenatal diagnosis precision for congenital clubfoot by using three-di- Majmaah Journal of Health Sciences,Vol.13, Issue2,April-2025,Shawwal-1446 115 Insight into clubfoot awareness:A cross-sectionalsurveyinAl-BahaRegion,SaudiArabia mensional ultrasonography. Diagnostics (Basel). 2024;14(1):117.
- 7.Faldini C, Fenga D, Sanzarello I, NanniM,TrainaF,RosaMAA.Prenatal diagnosis of clubfoot: A review ofcurrentavailablemethodology.Folia Med (Plovdiv). 2017;59(3):247-53.
- 8.Alsiddiky A, Alrwibaah S, Alqahtani A, Alnujidi A, Alhomaidhi A, Almasoud A, et al. Assessing public awareness of clubfoot and knowledge about the importance of early childhood treatment: A cross-sectional survey.BMCPediatr.2019;19(1):358.
- 9.Cady R, Hennessey TA, Schwend RM. Diagnosis and treatment of idiopathic congenital clubfoot. Pediatrics. 2022;149(2):e2021055555.
- 10.López-Carrero E, Castillo-López JM, Medina-Alcantara M, Domínguez-Maldonado G, Garcia-Paya I, Jiménez-Cebrián AM. Effectiveness of the Ponseti method in the treatment of clubfoot: A systematic review. Int J Environ Res Public Health. 2023;20(4):3714.
- 11.Souchet P, Delaby JP, Campana M, Chinnappa J, Ilharreborde B, Simon AL. The functional method: ExperiencefromtheRobertDebréHospital. Ann Transl Med. 2021;9(13):1098.
- 12.BobleM,SamargandiR.Functional, clinical, and radiological outcomes of split anterior tibial tendon transfers in patients with sequelae of congenital talipes equinovarus. Eur J Orthop Surg Traumatol. 2024 May 21.
- 13.Agarwal A, Jandial G, Gupta N. Comparison of three different methods of anterior tibial tendon transfer for relapsed clubfoot: A pilot study. J Clin Orthop Trauma. 2020;11(2):240-4.
- 14.Pigeolet M, Imam S, Ninulescu GC, Kabir S, Smeesters PR, Mahmud H. Evaluation of a surgical treatment algorithm for neglected clubfoot in low-resource settings. Int Orthop. 2022;46(1):61-70.
- 15.Rasheed N, Itaat Hussain Zaidi NR. Awareness regarding clubfoot in parents. J Pak Orthop Assoc. 2017;29(3):90-4.
- 16.O’Shea RM, Sabatini CS. What is new in idiopathic clubfoot? Curr Rev MusculoskeletMed.2016;9(4):470-7.
- 17.Alosaimi MA, Jawhari AM, Amin OA, Alzahrani ES, Alomar MO, Nouri MT, et al. Community awareness of congenital talipes equinovarus (clubfoot) in Makkah region, Saudi Arabia: A cross-sectional study. Cureus. 2022;14(10):e30602.
- 18.Alasbali MS, Altammami AF, Alharbi AA, Aljurfi MM, Alhumaidan AI, AlKhudhair MR, et al. Assess- 116 Majmaah Journal of Health Sciences,Vol.13, Issue2,April-2025,Shawwal-1446 Insight into clubfoot awareness:Across-sectionalsurveyinAl-BahaRegion,SaudiArabia ing awareness and knowledge level of clubfoot among a rural city population in Saudi Arabia: A cross-sectional study. J Family Med Prim Care. 2023;12(1):55-61.
- 19.Almogbil I, Albaker A, Alrabai H, Alhasson M, Alwhaid M, Alkadi S, et al. The level of public awareness about clubfoot in the Al-Qassim region and importance of early childhood intervention: A cross-sectional study. Pak J Med Health Sci. 2021;15:3463-8.
- 20.Oliveira CLDT, Gonçalves Filho GM, Volpon JB. Evaluation of early treatment of idiopathic clubfoot using the Ponseti method. Acta Ortop Bras. 2023;31:e259899.
- 21.Zionts LE, Sangiorgio SN, Cooper SD, Ebramzadeh E. Does clubfoot treatment need to begin as soon as possible? J Pediatr Orthop. 2016;36(6):558-64.
- 22.Sadiq BS, Khan A, Hassan M. Assessing public awareness of the knowledge and clubfoot about the importance of the treatment of early childhood. Pak J Med Health Sci. 2023;17(6):301-1.
- 23.Iqbal MS, Dubey R, Thakur K, Katiyar S, Prasad M. Assessment of awareness and barriers to clubfoot treatment in the Indian scenario. J Family Med Prim Care. 2021;10(11):4229-35.
- 24.Alalwan AA, Baabdullah AM, Rana NP, Tamilmani K, Dwivedi YK. Examining adoption of mobile internet in Saudi Arabia: Extending TAM with perceived enjoyment, innovativeness, and trust. Technol Soc. 2018;55:100-10.
- 25.Ghanem I, Rizkallah M. Clubfoot management in the Middle East: A survey-based review. Ann Transl Med. 2021;9(13):1106.
- 26.NdukwuCU,NdukwuCI,ElejeGU, Nze IN, Obiegbu HO, Chukwuemeka C. Aetiology and management of congenital club foot: Evaluation of perception of mothers in Nnewi. Orient J Med. 2024;36(1-2):35-40.
Peer review
Peer reviewed by 3 reviewers, who chose to remain anonymous.