Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science)
Ihdina Zahra
Departement of Surgery, Faculty of Medicine, Riau University, Arifin Achmad Hospital, Pekanbaru, Riau
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Understanding The Risk Factor of CTEV and Its Management at Primary Health Care Arnadi Zubir; Muhammad Wiranata; Ihdina Zahra; Fahrul Rozy; Wahyuning Lestari; Achmad Fikri
Jurnal Ilmu Kedokteran Vol 20, No 1 (2026): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v20i1.2026.128-132

Abstract

Congenital Talipes Equinovarus (CTEV) is a congenital deformity affecting the lower extremities. CTEV is classified into four components: Cavus, Adductus, Varus, and Equinus. Risk factors for CTEV are most commonly associated with twin pregnancies, with a higher incidence reported in monozygotic twins compared to dizygotic twins (32% vs. 2.9%). Other contributing factors include maternal smoking during pregnancy, which has been reported to increase the risk of CTEV by approximately 1.3–2 times. In addition, exposure to teratogenic drugs during pregnancy may disrupt fetal musculoskeletal and neuromuscular development, increasing the risk of CTEV by 1.5–3 times, particularly during the first trimester, thereby increasing the likelihood of congenital deformities of the lower extremities. The Ponsetti method has a high success rate, is minimally invasive, and is effective in improving foot function and deformity when performed early in suspected CTEV patients. A 12-month-old twin infant presented to the outpatient clinic with deformities in both lower extremities. History taking revealed oligohydramnios, tobacco exposure, and medication consumption during pregnancy. Management was performed using the Ponseti method, including serial casting correction and bracing with Dennis Brown splint shoes which implemented in primary health care. Early recognition of risk factors may reduce the risk and severity of CTEV.
Co-Authors Achmad Fikri Arnadi Zubir Fahrul Rozy Muhammad Wiranata Wahyuning Lestari