Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience

Seniye Burcu Torumtay Alıç; Taner Alıç

doi:10.38053/acmj.1881381

Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience

Abstract

Aims: Congenital talipes equinovarus (CTEV) is one of the most common congenital foot deformities and is influenced by multifactorial etiological factors, including genetic predisposition, intrauterine environment, and maternal characteristics. Early orthopedic consultation is considered critical for the success of the Ponseti method. This study aimed to evaluate the effects of maternal factors and postnatal orthopedic consultation timing on treatment outcomes in newborns with CTEV based on a 10 year single-center experience. Methods: This retrospective cohort study included newborns diagnosed with CTEV between 2015 and 2025 at a tertiary referral center. Maternal, perinatal, and clinical variables-including maternal age, smoking status, gestational complications, mode of delivery, deformity characteristics, consultation timing, treatment initiation time, and Pirani scores-were recorded. All patients were treated using the Ponseti method. Group comparisons were performed using nonparametric statistical tests, and predictors of Achilles tenotomy were evaluated using binary logistic regression analysis. Results: Among 15.132 live births, 38 infants (0.25%) were diagnosed with CTEV. Most cases were bilateral (63.2%), all cases were classified as idiopathic CTEV, and 73.7% were flexible. Maternal smoking was present in 55.3% of cases but showed no significant association with deformity severity, rigidity, or tenotomy requirement (p>0.05). No significant correlations were observed between consultation duration, treatment initiation time, and Pirani scores (p>0.05 for all comparisons). Ponseti treatment resulted in significant improvement in Pirani scores (median 2 to 0, p<0.001). Achilles tenotomy was performed in 52.6% of patients. Logistic regression analysis identified pre-treatment Pirani score as the only independent predictor of tenotomy (OR=3.61, 95% CI: 1.45-8.98, p=0.006). Conclusion: Maternal characteristics and consultation timing do not appear to influence treatment outcomes in newborns with CTEV. Pre-treatment Pirani score is the strongest predictor of Achilles tenotomy and should be considered a key parameter in treatment planning.

Keywords

References

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Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Authors

Seniye Burcu Torumtay Alıç ^*
0009-0007-0659-4726
Türkiye

Taner Alıç
0000-0003-3848-8577
Türkiye

Publication Date

July 16, 2026

Submission Date

February 3, 2026

Acceptance Date

June 7, 2026

Published in Issue

Year 2026 Volume: 8 Number: 4

DOI

https://doi.org/10.38053/acmj.1881381

IZ

https://izlik.org/JA66UE94TS

Cite

RIS / Bibtex

APA

Torumtay Alıç, S. B., & Alıç, T. (2026). Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience. Anatolian Current Medical Journal, 8(4), 662-667. https://doi.org/10.38053/acmj.1881381

AMA

1.Torumtay Alıç SB, Alıç T. Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience. Anatolian Curr Med J / ACMJ / acmj. 2026;8(4):662-667. doi:10.38053/acmj.1881381

Chicago

Torumtay Alıç, Seniye Burcu, and Taner Alıç. 2026. “Maternal Factors and Postnatal Orthopedic Consultation Timing in Congenital Talipes Equinovarus: A 10-Year Single-Center Experience”. Anatolian Current Medical Journal 8 (4): 662-67. https://doi.org/10.38053/acmj.1881381.

EndNote

Torumtay Alıç SB, Alıç T (July 1, 2026) Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience. Anatolian Current Medical Journal 8 4 662–667.

IEEE

[1]S. B. Torumtay Alıç and T. Alıç, “Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience”, Anatolian Curr Med J / ACMJ / acmj, vol. 8, no. 4, pp. 662–667, July 2026, doi: 10.38053/acmj.1881381.

ISNAD

Torumtay Alıç, Seniye Burcu - Alıç, Taner. “Maternal Factors and Postnatal Orthopedic Consultation Timing in Congenital Talipes Equinovarus: A 10-Year Single-Center Experience”. Anatolian Current Medical Journal 8/4 (July 1, 2026): 662-667. https://doi.org/10.38053/acmj.1881381.

JAMA

1.Torumtay Alıç SB, Alıç T. Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience. Anatolian Curr Med J / ACMJ / acmj. 2026;8:662–667.

MLA

Torumtay Alıç, Seniye Burcu, and Taner Alıç. “Maternal Factors and Postnatal Orthopedic Consultation Timing in Congenital Talipes Equinovarus: A 10-Year Single-Center Experience”. Anatolian Current Medical Journal, vol. 8, no. 4, July 2026, pp. 662-7, doi:10.38053/acmj.1881381.

Vancouver

1.Seniye Burcu Torumtay Alıç, Taner Alıç. Maternal factors and postnatal orthopedic consultation timing in congenital talipes equinovarus: a 10-year single-center experience. Anatolian Curr Med J / ACMJ / acmj. 2026 Jul. 1;8(4):662-7. doi:10.38053/acmj.1881381