Epidimiology, Clinical Screening and Early Management of Developmental Dysplasia of The Hip in Sulaimani City Center
Keywords:
Epidemiology, early Management, DysplasiaAbstract
Background and Objectives: there is no screening program in our area, no reliable data on incidence, associated risk factors and effects of early management of DDH, and after 30 years of entering ultrasound in the management of DDH, still plain radiographs are in use. to observe effectiveness of early diagnosis and treatment of DDH using clinical screening and ultrasound-based management system. cross-sectional observational study
Methods: 1521 neonates in their first week of age attended the birth office for vaccination from 1st June to 31st July 2009, Ortolani and Barlow method used for clinical screening followed by filling a questionnaire to evaluate risk factor association. Ultrasound used for classification of hips (using Graf's method) followed by treatment in the first three months of age using Pavlik harness splint as a treatment method.
Results: 65.8 per 1000 live birth have DDH, twice common in female, 50% bilateral,ultrasound in the first week shows values of (0, 109, 20, and 3) and at 3 months (124, 5, 3, and 0) values for Graf(I,IIa,IIc&D,III&IV) respectively. Treatment rate with Pavlik harness splint were 17.5% with success rate of 82.5% without open reductions of the hip, finally to have 97.8% normal hips (Graf I) at the end of this study with treatment.
Conclusions: In DDH, early diagnosis and treatment through clinical screening and ultrasound-based management is effective
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