Gelişimsel Kalça Displazisi Tarama Programı Sonrası Kliniğimizdeki Tedavi Prosedürü Değişimi

Buğra Kundakçı; Ömer Biçer; Veli Can Kıran; Akif Mirioğlu; Melih Bağır; Cenk Özkan

doi:10.36516/jocass.1302764

Clinical Research

Year 2023, Volume: 6 Issue: 3, 444 - 448, 31.12.2023

Buğra Kundakçı , Ömer Biçer , Veli Can Kıran , Akif Mirioğlu , Melih Bağır , Cenk Özkan

https://doi.org/10.36516/jocass.1302764

Abstract

References

1. Aronsson DD, Goldberg MJ, Kling Jr. et al. Developmental dysplasia of the hip. Pediatrics. 1994;94:201-8. https://doi.org/10.1542/peds.94.2.201
2. Bialik V, Bialik GM, Blazer S et al. Developmental dysplasia of the hip: A new approach to incidence. Pediatrics. 1999;103:93-99. https://doi.org/10.1542/peds.103.1.93
3. Klisic PJ. Congenital dislocation of the hip - A misleading term: Brief report. Journal of Bone and Joint Surgery Br. 1989;71:136. https://doi.org/10.1302/0301-620X.71B1.2914985
4. David TJ, Parris MR, Poynor MU et al. Reasons for late detection of hip dislocation in childhood. The Lancet. 1983;322:147-149. https://doi.org/10.1016/S0140-6736(83)90128-9
5. Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2012;81:344-351. https://doi.org/10.1016/j.ejrad.2011.11.003
6. Ulziibat M, Munkhuu B, Bataa AE et al. Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial. BMC Pediatr. 2021;21:450. https://doi.org/10.1186/s12887-021-02910-x
7. Yang S, Zusman N, Lieberman E, Goldstein RY. Developmental dysplasia of the hip. Pediatrics. 2019;143: e20181147. https://doi.org/10.1542/peds.2018-1147
8. Myers J, Hadlow S, Lynskey T. The effectiveness of a programme for neonatal hip screening over a period of 40 years A follow-up of the New Plymouth experience. J Bone Joint Surg Br. 2009;91(2):245-248. https://doi.org/10.1302/0301-620X.91B2.21300
9. Shorter D, Hong T, Osborn DA. Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants. Evid Based Child Health. 2013;8:11-54. https://doi.org/10.1002/ebch.1891
10. Dorn U, Neumann D. Ultrasound for screening developmental dysplasia of the hip: A European perspective. Curr Opin Pediatr. 2005;17:30-33. https://doi.org/10.1097/01.mop.0000151554.10176.34
11. Holen KJ, Tegnander A, Bredland T, et al. Universal or selective screening of the neonatal hip using ultrasound? A prospective, randomised trial of 15,529 newborn infants. J Bone Joint Surg Br. 2002;84:886-890. https://doi.org/10.1302/0301-620X.84B6.0840886
12. Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91:1705-1719. https://doi.org/10.2106/JBJS.H.00122
13. Turkish Public Health Institution-Children and Adolescent Health Department, Infant, Toddler and Adolescent Monitoring Protocols. https://hsgm.saglik.gov.tr/tr/cocukergen-tp-liste/gelişimsel-kalça-displazisi-gkd-tarama-programı.html.
14. Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics. 2000;105:896-905. https://doi.org/10.1542/peds.105.4.896
15. Furnes O, Lie SA, Espehaug B et al. Hip disease and the prognosis of total hitotal hip replacements reported to the Norwegian Arthroplasty Register. J Bone Joint Surg Br. 2001;83:579-586. https://doi.org/10.1302/0301-620X.83B4.0830579
16. Woodacre T, Dhadwal A, Ball T, Edwards C, Cox PJA. The costs of late detection of developmental dysplasia of the hip. J Child Orthop. 2014;8:325-332. https://doi.org/10.1007/s11832-014-0599-7
17. Rosendahl K, Markestad T, Lie RT. Ultrasound screening for developmental dysplasia of the hip in the neonate: The effect on treatment rate and prevalence of late cases. Pediatrics. 1994;94:47-52.
18. Wenger D, Düppe H, Nilsson JÅ, Tiderius CJ. Incidence of Late-Diagnosed Hip Dislocation after Universal Clinical Screening in Sweden. JAMA Netw Open. 2019;2:e1914779. https://doi.org/10.1001/jamanetworkopen.2019.14779
19. Thallinger C, Pospischill R, Ganger R, Radler C, Krall C, Grill F. Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program. J Child Orthop. 2014;8:3-10. https://doi.org/10.1007/s11832-014-0555-6
20. von Kries R, Ihme N, Oberle D, et al. Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany. Lancet. 2003;362:1883-1887. https://doi.org/10.1016/S0140-6736(03)14957-4
21. Shaw BA, Segal LS, Otsuka NY, et al. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics. 2016;138:e20163107. https://doi.org/10.1542/peds.2016-3107
22. Laborie LB, Engesæter I, Lehmann TG et al. Screening strategies for hip dysplasia: Long-term outcome of a randomized controlled trial. Pediatrics. 2016;138:e20163107.
23. Kilsdonk I, Witbreuk M, van der Woude HJ. Ultrasound of the neonatal hip as a screening tool for ddh: How to screen and differences in screening programs between european countries. J Ultrason. 2021;21:e147-e153. https://doi.org/10.15557/JoU.2021.0024
24. Woodacre T, Ball T, Cox P. Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors. J Child Orthop. 2016;10:633-642. https://doi.org/10.1007/s11832-016-0798-5
25. Loder RT, Skopelja EN. The Epidemiology and Demographics of Hip Dysplasia. ISRN Orthop. 2011;2011:238607. https://doi.org/10.5402/2011/238607
26. Desteli EE, Pişkin A, Gülman AB et al. Estrogen receptors in hip joint capsule and ligamentum capitis femoris of babies with developmental dysplasia of the hip. Acta Orthop Traumatol Turc. 2013;47:158-161. https://doi.org/10.3944/AOTT.2013.2772
27. Albinana J, Dolan LA, Spratt KF et al. Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures. J Bone Joint Surg Br. 2004;86:876-886. https://doi.org/10.1302/0301-620X.86B6.14441
28. Nakamura J, Kamegaya M, Saisu T et al. Treatment for developmental dysplasia of the hip using the Pavlik harness: long-term results. J Bone Joint Surg Br. 2007;89:230-235. https://doi.org/10.1302/0301-620X.89B2.18057
29. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am. 1994;76:1777-1792. https://doi.org/10.2106/00004623-199412000-00004
30. Morcuende JA, Meyer MD, Dolan LA et al. Long-term outcome after open reduction through an anteromedial approach for congenital dislocation of the hip. J Bone Joint Surg Am. 1997;79:810-817. https://doi.org/10.2106/00004623-199706000-00002
31. Moraleda L, Bravo C, Forriol F et al. Does Orientation of the Femoral Head Affect Acetabular Development? An Experimental Study in Lamb. J Pediatr Orthop. 2019;39:416-421. https://doi.org/10.1097/BPO.0000000000000974
32. Blockey NJ. Derotation osteotomy in the management of congenital dislocation of the hip. J Bone Joint Surg Br. 1984;66:485-490. https://doi.org/10.1302/0301-620X.66B4.6746678
33. Thomas SR, Wedge JH, Salter RB. Outcome at forty-five years after open reduction and innominate osteotomy for late-presenting developmental dislocation of the hip. J Bone Joint Surg Am. 2007;89:2341-2350. https://doi.org/10.2106/00004623-200711000-00003
34. Steppacher SD, Tannast M, Ganz R et al. Mean 20-year followup of Bernese periacetabular osteotomy. Clin Orthop Relat Res. 2008;466:1633-1644. https://doi.org/10.1007/s11999-008-0242-3

Gelişimsel Kalça Displazisi Tarama Programı Sonrası Kliniğimizdeki Tedavi Prosedürü Değişimi

Year 2023, Volume: 6 Issue: 3, 444 - 448, 31.12.2023

Buğra Kundakçı , Ömer Biçer , Veli Can Kıran , Akif Mirioğlu , Melih Bağır , Cenk Özkan

https://doi.org/10.36516/jocass.1302764

Abstract

Giriş: Gelişimsel kalça displazisi (GKD), hafif asetabular displaziden, tam kalça çıkığına kadar geniş bir patolojik spektrumu kapsar ve erken tanı ile basit ve girişimsel olmayan yöntemlerle tedavi edilebilirken, geç tanı alanlarda majör cerrahi girişimler gerekebilir ve çoğunlukla sekel bırakarak iyileşir. Bu çalışmanın amacı, 2010 yılında başlatılan ulusal gelişimsel kalça displazisi (GKD) tarama programının Çukurova Üniversitesi Tıp Fakültesi Hastanesinde gelişimsel displazisi tedavi yaklaşımlarına ve cerrahi tedavi sayılarına etkilerini araştırmaktı.
Gereç ve Yöntemler: 2007-2021 yılları arasında GKD nedeniyle kliniğimizde opere olmuş tüm hastalar ameliyathane kayıtlarından geriye dönük olarak incelendi ve yıllara göre gruplara ayırılıp tarama programı sonrası ve öncesi yıllarda yapılan kapalı redüksiyon, açık redüksiyon ve pelvik osteotomili majör girişim sayıları belirlendi.
Bulgular: 2007-2021 yılları arasında GKD hastalarına anestezi altında 255 cerrahi ve 125 cerrahi olmayan işlem uygulandı. Tarama programı ile birlikte kapalı redüksiyon ve gövde alçısı oranı %7’den %40’a artış göstermiştir. Açık redüksiyon oranı da bu dönemde %18'den %40’a artış göstermiş, pelvik osteotomi uygulanan majör cerrahi girişimlerin oranı ise %75’ten %30’a düşerek önemli ölçüde azalmıştır.
Sonuç: Bu çalışmada GKD için tarama programının başlatılmasından sonra kliniğimizde pelvik osteotomileri içeren majör cerrahi girişimlerin önemli oranda azaldığı, buna karşın kapalı redüksiyon oranında artış meydana geldiği görülmüştür.

Keywords

gkd, gelişimsel kalça displazisi, tarama programı

References

1. Aronsson DD, Goldberg MJ, Kling Jr. et al. Developmental dysplasia of the hip. Pediatrics. 1994;94:201-8. https://doi.org/10.1542/peds.94.2.201
2. Bialik V, Bialik GM, Blazer S et al. Developmental dysplasia of the hip: A new approach to incidence. Pediatrics. 1999;103:93-99. https://doi.org/10.1542/peds.103.1.93
3. Klisic PJ. Congenital dislocation of the hip - A misleading term: Brief report. Journal of Bone and Joint Surgery Br. 1989;71:136. https://doi.org/10.1302/0301-620X.71B1.2914985
4. David TJ, Parris MR, Poynor MU et al. Reasons for late detection of hip dislocation in childhood. The Lancet. 1983;322:147-149. https://doi.org/10.1016/S0140-6736(83)90128-9
5. Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2012;81:344-351. https://doi.org/10.1016/j.ejrad.2011.11.003
6. Ulziibat M, Munkhuu B, Bataa AE et al. Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial. BMC Pediatr. 2021;21:450. https://doi.org/10.1186/s12887-021-02910-x
7. Yang S, Zusman N, Lieberman E, Goldstein RY. Developmental dysplasia of the hip. Pediatrics. 2019;143: e20181147. https://doi.org/10.1542/peds.2018-1147
8. Myers J, Hadlow S, Lynskey T. The effectiveness of a programme for neonatal hip screening over a period of 40 years A follow-up of the New Plymouth experience. J Bone Joint Surg Br. 2009;91(2):245-248. https://doi.org/10.1302/0301-620X.91B2.21300
9. Shorter D, Hong T, Osborn DA. Cochrane Review: Screening programmes for developmental dysplasia of the hip in newborn infants. Evid Based Child Health. 2013;8:11-54. https://doi.org/10.1002/ebch.1891
10. Dorn U, Neumann D. Ultrasound for screening developmental dysplasia of the hip: A European perspective. Curr Opin Pediatr. 2005;17:30-33. https://doi.org/10.1097/01.mop.0000151554.10176.34
11. Holen KJ, Tegnander A, Bredland T, et al. Universal or selective screening of the neonatal hip using ultrasound? A prospective, randomised trial of 15,529 newborn infants. J Bone Joint Surg Br. 2002;84:886-890. https://doi.org/10.1302/0301-620X.84B6.0840886
12. Mahan ST, Katz JN, Kim YJ. To screen or not to screen? A decision analysis of the utility of screening for developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91:1705-1719. https://doi.org/10.2106/JBJS.H.00122
13. Turkish Public Health Institution-Children and Adolescent Health Department, Infant, Toddler and Adolescent Monitoring Protocols. https://hsgm.saglik.gov.tr/tr/cocukergen-tp-liste/gelişimsel-kalça-displazisi-gkd-tarama-programı.html.
14. Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics. 2000;105:896-905. https://doi.org/10.1542/peds.105.4.896
15. Furnes O, Lie SA, Espehaug B et al. Hip disease and the prognosis of total hitotal hip replacements reported to the Norwegian Arthroplasty Register. J Bone Joint Surg Br. 2001;83:579-586. https://doi.org/10.1302/0301-620X.83B4.0830579
16. Woodacre T, Dhadwal A, Ball T, Edwards C, Cox PJA. The costs of late detection of developmental dysplasia of the hip. J Child Orthop. 2014;8:325-332. https://doi.org/10.1007/s11832-014-0599-7
17. Rosendahl K, Markestad T, Lie RT. Ultrasound screening for developmental dysplasia of the hip in the neonate: The effect on treatment rate and prevalence of late cases. Pediatrics. 1994;94:47-52.
18. Wenger D, Düppe H, Nilsson JÅ, Tiderius CJ. Incidence of Late-Diagnosed Hip Dislocation after Universal Clinical Screening in Sweden. JAMA Netw Open. 2019;2:e1914779. https://doi.org/10.1001/jamanetworkopen.2019.14779
19. Thallinger C, Pospischill R, Ganger R, Radler C, Krall C, Grill F. Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: The Austrian hip screening program. J Child Orthop. 2014;8:3-10. https://doi.org/10.1007/s11832-014-0555-6
20. von Kries R, Ihme N, Oberle D, et al. Effect of ultrasound screening on the rate of first operative procedures for developmental hip dysplasia in Germany. Lancet. 2003;362:1883-1887. https://doi.org/10.1016/S0140-6736(03)14957-4
21. Shaw BA, Segal LS, Otsuka NY, et al. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics. 2016;138:e20163107. https://doi.org/10.1542/peds.2016-3107
22. Laborie LB, Engesæter I, Lehmann TG et al. Screening strategies for hip dysplasia: Long-term outcome of a randomized controlled trial. Pediatrics. 2016;138:e20163107.
23. Kilsdonk I, Witbreuk M, van der Woude HJ. Ultrasound of the neonatal hip as a screening tool for ddh: How to screen and differences in screening programs between european countries. J Ultrason. 2021;21:e147-e153. https://doi.org/10.15557/JoU.2021.0024
24. Woodacre T, Ball T, Cox P. Epidemiology of developmental dysplasia of the hip within the UK: refining the risk factors. J Child Orthop. 2016;10:633-642. https://doi.org/10.1007/s11832-016-0798-5
25. Loder RT, Skopelja EN. The Epidemiology and Demographics of Hip Dysplasia. ISRN Orthop. 2011;2011:238607. https://doi.org/10.5402/2011/238607
26. Desteli EE, Pişkin A, Gülman AB et al. Estrogen receptors in hip joint capsule and ligamentum capitis femoris of babies with developmental dysplasia of the hip. Acta Orthop Traumatol Turc. 2013;47:158-161. https://doi.org/10.3944/AOTT.2013.2772
27. Albinana J, Dolan LA, Spratt KF et al. Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures. J Bone Joint Surg Br. 2004;86:876-886. https://doi.org/10.1302/0301-620X.86B6.14441
28. Nakamura J, Kamegaya M, Saisu T et al. Treatment for developmental dysplasia of the hip using the Pavlik harness: long-term results. J Bone Joint Surg Br. 2007;89:230-235. https://doi.org/10.1302/0301-620X.89B2.18057
29. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am. 1994;76:1777-1792. https://doi.org/10.2106/00004623-199412000-00004
30. Morcuende JA, Meyer MD, Dolan LA et al. Long-term outcome after open reduction through an anteromedial approach for congenital dislocation of the hip. J Bone Joint Surg Am. 1997;79:810-817. https://doi.org/10.2106/00004623-199706000-00002
31. Moraleda L, Bravo C, Forriol F et al. Does Orientation of the Femoral Head Affect Acetabular Development? An Experimental Study in Lamb. J Pediatr Orthop. 2019;39:416-421. https://doi.org/10.1097/BPO.0000000000000974
32. Blockey NJ. Derotation osteotomy in the management of congenital dislocation of the hip. J Bone Joint Surg Br. 1984;66:485-490. https://doi.org/10.1302/0301-620X.66B4.6746678
33. Thomas SR, Wedge JH, Salter RB. Outcome at forty-five years after open reduction and innominate osteotomy for late-presenting developmental dislocation of the hip. J Bone Joint Surg Am. 2007;89:2341-2350. https://doi.org/10.2106/00004623-200711000-00003
34. Steppacher SD, Tannast M, Ganz R et al. Mean 20-year followup of Bernese periacetabular osteotomy. Clin Orthop Relat Res. 2008;466:1633-1644. https://doi.org/10.1007/s11999-008-0242-3

There are 34 citations in total.

Details

Primary Language	Turkish
Subjects	Orthopaedics
Journal Section	Articles
Authors	Buğra Kundakçı 0000-0002-8343-5506 Ömer Biçer 0000-0002-4257-9298 Veli Can Kıran 0000-0003-3148-7459 Akif Mirioğlu 0000-0002-9686-4991 Melih Bağır 0000-0002-3761-8774 Cenk Özkan 0000-0002-6249-6174
Publication Date	December 31, 2023
Acceptance Date	November 12, 2023
Published in Issue	Year 2023 Volume: 6 Issue: 3

Cite

APA	Kundakçı, B., Biçer, Ö., Kıran, V. C., Mirioğlu, A., et al. (2023). Gelişimsel Kalça Displazisi Tarama Programı Sonrası Kliniğimizdeki Tedavi Prosedürü Değişimi. Journal of Cukurova Anesthesia and Surgical Sciences, 6(3), 444-448. https://doi.org/10.36516/jocass.1302764

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