Population: 1.3 billion
Number of babies born with clubfoot each year: 19714

(Incidence estimated using CIA factbook statistics and clubfoot incidence of 1.2/1000 live births)

An Orphan’s Wish in their own words:

‘An Orphans Wish Clubfoot Unit, in Guilin, China, is applying the Ponseti method of clubfoot treatment to a population of neglected orphan children. Since May, 2004  An Orphans Wish has provided a centralized site to promote the identification of clubfoot as a treatable condition, practice appropriate use of the Ponseti method, and train others to identify and treat clubfoot. The goal of this project is to identify the results of treatment using the Ponseti Method in this setting and to identify the effectiveness and impact of a centralized training site as a means of outreach to the region. From May, 2004 through August, 2010 a total of thirty children with 57 clubfeet were treated at An Orphans Wish. The median age at start of treatment was 12 months (mean 12.1 months). Seventeen of the children were female, thirteen male. Seventeen of the thirty children had significant medical problems to include arthrogryposis, myelomeningocele, and cerebral palsy.  The mean initial Pirani score was 4.24 on presentation.  47 of the 57 feet required an Achilles’ tenotomy. The median number of casts prior to tenotomy was 7 (mean 8.09). The mean final Pirani score was .56. Long term access and follow up to the children is limited. These results point to good short term outcomes using this method in a difficult older population with a high rate of significant medical conditions.’