title: Parental consanguinity and associated factors in congenital talipes equinovarus.
abstract: BACKGROUND
  The cause of congenital talipes equinovarus (CTEV) is multifactorial and, consanguinity could be one of the causative factors in its development. The purpose of this study was, to determine the prevalence of parental consanguinity in CTEV and other factors like associated, congenital anomalies, maternal and fetal factors and also the severity of CTEV in these patients.
  
  
  METHODS
  The above factors were studied in 54 patients of less than 1 month of age with parental, consanguinity and 91 feet were evaluated for its severity using Dimeglio classification at the time of presentation.
  
  
  RESULTS
  Out of 174 children presented to our department with CTEV, 54 (31%) children were born out, of consanguineous marriage. Thirty seven (68.5%) patients had bilateral CTEV. Twenty five (46.3%), patients had associated congenital anomalies and myelomeningocele being the commonest anomaly, associated. Out of 91 feet 61 (67%) were of grade 4 severity.
  
  
  CONCLUSIONS
  High grade of severity observed in both idiopathic and non idiopathic CTEV suggests the, probable role of consanguinity as an etiological factor in the development of CTEV especially in our, part of the world.
authors.affiliation: Department of Orthopaedics, Jawaharlal Institute of Post Graduate Medical Education and Research, Dhanvantrinagar, Puducherry 605006, India. sreenivas6@rediffmail.com
authors.forename: T
authors.initials: T
authors.lastname: Sreenivas
authors.forename: A R
authors.initials: AR
authors.lastname: Nataraj
mesh_terms: D003025:Clubfoot / Q000453:epidemiology* / Q000235:genetics; D003241:Consanguinity; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007231:Infant, Newborn; D008297:Male; D008393:Marriage; D010290:Parents; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors