Results of a universal ultrasonographic hip screening program at a single institution

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dc.authorid0000-0002-0022-0439
dc.authorid0000-0003-1259-6668
dc.authorid0000-0002-7794-9308
dc.contributor.authorGüler, Olcay
dc.contributor.authorŞeker, Ali
dc.contributor.authorMutlu, Serhat
dc.contributor.authorÇerçi, Mehmet Halis
dc.contributor.authorKömür, Baran
dc.contributor.authorMahiroğulları, Mahir
dc.date.accessioned08.07.201910:49:13
dc.date.accessioned2019-07-08T20:18:51Z
dc.date.available08.07.201910:49:13
dc.date.available2019-07-08T20:18:51Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: The aims of the present study were to determine the prevalence of developmental dysplasia of the hip (DDH) in newborns screened by hip ultrasonography (US), to review outcome of followup and treatment of infants with DDH, and to evaluate the relationship between US-based diagnosis and risk factors.Methods: A total of 9564 hips of 4782 newborns (2398 females, 50.1%) were evaluated with US. Risk factors for DDH and accompanying deformities were also recorded. Graf classification type IIa(-), IIb, IIc, D, and III hips were treated with Pavlik harnesses.Results: Abnormal US findings (type IIa, IIc, or D hips) were detected in 475 newborns (9.9%). Risk factors and concomitant orthopedic deformities were similar in newborns with and without US abnormality and type I hips (p>0.05 for all). However, abnormal US findings were significantly more common in firstborn and female newborns. A total of 39 hips (5 bilateral, 20 left, 9 right) of 34 newborns (31 females) were placed in Pavlik harnesses. Twelve newborns had type IIc or D hips at initial evaluation, and 22 had type IIb or IIa(-) at follow-up. Mean recovery time was 12.5 (8-16) weeks for newborns with type IIc and D hips, 8.6 (8-12) weeks for those with type IIa(-) hips, and 11.2 (8-12) weeks for those with type IIb hips.Conclusion: DDH is still common among newborns in Turkey. Hip US is recommended for detection and follow-up of DDH in newborns.
dc.identifier.citationGüler, O., Şeker, A., Mutlu, S., Çerçi, M. H., Kömür, B. ve Mahiroğulları, M. (2016). Results of a universal ultrasonographic hip screening program at a single institution. Acta Orthopaedica et Traumatologica Turcica, 50(1), 42-48. https://dx.doi.org/10.3944/AOTT.2016.15.0024
dc.identifier.endpage48
dc.identifier.issn1017-995X
dc.identifier.issue1
dc.identifier.scopusqualityQ3
dc.identifier.startpage42
dc.identifier.urihttps://hdl.handle.net/20.500.12511/507
dc.identifier.urihttps://dx.doi.org/10.3944/AOTT.2016.15.0024
dc.identifier.volume50
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDevelopmental Dysplasia of the Hip
dc.subjectUltrasonography
dc.subjectPavlik Harness
dc.subjectRisk Factors
dc.titleResults of a universal ultrasonographic hip screening program at a single institution
dc.typeArticle

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