THE PREVALENCE OF RISK FACTORS FOR DEVELOPMENTAL DYSPLASIA OF THE HIP (DDH) IN CHILDREN
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Keywords
developmental dysplasia of hip, children, breech presentation, oligohydramnios
Abstract
Background: Developmental dysplasia of the hip (DDH) refers to a variety of structural hip defects, ranging from minor acetabular dysplasia to more severe types including subluxation of femoral head dislocation. The global prevalence of DDH varies greatly, with estimates ranging from 0.5% to 1.5%. Furthermore, data suggests that being a first-born child, female gender, a positive family history, breech presentation, oligohydramnios, and cesarean births are all potential risk factors for DDH, albeit their incidence varies.
Objective: To determine the prevalence of risk factors for developmental dysplasia of the hip in children
Study design: A cross-sectional study
Place and Duration: this study was conducted in Liaquat National Hospital and Medical College Karachi from January 2023 to January 2024
Methodology: Parents of all children with DDH who satisfied the inclusion criteria were interviewed to determine risk factors for the disorder. The mothers provided a full history. Each child was thoroughly examined, and hip radiographs were obtained to confirm the DDH diagnosis. Face-to-face interviews with mothers were used to collect data. The data was analyzed using SPSS version 22.
Results: There were a total of 150 children included in this study. The average age calculated was 7.5 years. The age range of 3 to 5 years had the highest number of children. There were a total of 83 (55.33%) males and 67 (44.67%) females in this study. Overall 74% of the mode of delivery was C-section.
Conclusion: Oligohydramnios, breech presentation, and premature birth emerged as the most common risk factors for developmental dysplasia of hip in children.
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Mohammed Asif Peracha
Consultant Orthopedic Surgeon, Liaquat National Hospital and Medical College Karachi Pakistan.
Kashif Anwar
Consultant Orthopedic Surgeon, Jinnah Postgraduate Medical Centre Karachi Pakistan.
Zeeshan Faisal
Associate Professor and Consultant Orthopaedic Surgeon, Hamdard University Hospital & Taj Medical Complex Karachi Pakistan.
Muhammad Azfar
Specialist/Registrar Orthopedic Surgery, Dr Sulaiman Al-Habib Medical Group, Riyadh, KSA.
Imtiaz Ahmed Tago
Associate Consultant Orthopedics, Al Wakrah Hospital Hamad Medical Corporation HMC Surgery Department Doha Qatar.
Khurram Shahzad Shahwani
Assistant Professor Orthopedics Department, Jhalawan Medical College (JMC), Khuzdar Pakistan.