Clinical Insights into Developmental Dysplasia of the Hip: Risk Factors and Findings from a Turkish Pediatric Study
DDH Risk Factors: Insights from a Turkish Pediatric Study
DOI:
https://doi.org/10.5281/zenodo.10018988Keywords:
Developmental dysplasia of the hip,, risk factors, twinning, first-born, prematurity, C-sectionAbstract
Background: Limited research exists regarding the connection between developmental dysplasia of the hip (DDH) and risk factors within the Turkish population.
Objective: This study aimed to explore the potential associations between DDH and various risk factors among Turkish children.
Materials and Methods: The study involved analyzing the medical records of 83 children born in or admitted to Aksaray Training and Research Hospital, with clinical indications of hip dislocation (HD). The study delved into the relationships between DDH and risk factors such as age under 3 years, female gender, twinning, being the first-born child, C-section delivery, breech presentation, prematurity, positive family history, and the presence of associated abnormalities.
Results: Within the study group, HD was confirmed in 74 children (89%) as Positive HD, whereas 9 children (11%) were ruled out as Negative HD. Subsequently, 12 children (14.4%) were excluded from the initially positive cases, as their diagnosis was confirmed to be paralytic hip dislocation rather than DDH. Ultimately, DDH was verified in 62 children (74.6%). Statistical analyses using the Chi-square test (χ²) and odds ratios (OR) revealed notable associations between DDH and positive family history, female gender, age below 3 years, and the presence of associated abnormalities. The corresponding P values and OR were 0.00 (16.5), 0.002 (3.1), 0.005 (2.6), and 0.042 (1.9) respectively.
Conclusions: Positive family history, female gender, age under 3 years, and the presence of associated abnormalities were associated with an approximate 16-fold, 3-fold, 2.5-fold, and 2-fold increased risk of DDH respectively.
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