Changes in diagnostics and treatment pathways for developmental dysplasia of the hip after the introduction of national guidelines: An updated questionnaire amongst paediatric orthopaedic surgeons in The Netherlands.

Autor:	Mai M; Faculty of Medicine, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands., Witbreuk MM; Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands., de Witte PB; Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands., van Bergen CJ; Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands.; Department of Orthopaedic Surgery and Sports Medicine, Erasmus MC Sophia, Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of children's orthopaedics [J Child Orthop] 2024 Nov 04; Vol. 18 (6), pp. 600-606. Date of Electronic Publication: 2024 Nov 04 (Print Publication: 2024).
DOI:	10.1177/18632521241276367
Abstrakt:	Purpose: Diagnostics and treatment pathways for developmental dysplasia of the hip are highly variable in clinical practice. Recently, two national guidelines were developed in the Netherlands, providing a uniform protocol for the diagnosis and treatment of developmental dysplasia of the hip in children under the age of 1 year. The aim of this survey study was to assess whether diagnostic and treatment strategies have changed amongst paediatric orthopaedic surgeons in the Netherlands compared to a similar survey study in 2011, after the introduction of the guidelines. Methods: A web-based online questionnaire was developed and shared amongst the members of the Dutch Paediatric Orthopaedic Society. The questions concerned the diagnosis and treatment of developmental dysplasia of the hip, ranging from mildly dysplastic to dislocated hips, in children under the age of 1 year. We used a questionnaire similar to the previous study and evaluated the results. Results: Thirty-four participants completed the survey. Regarding diagnosis and follow-up, ultrasonography was generally applied for children younger than 6 months, while radiography was more frequently used for children aged 6-12 months. In 2011, radiography was more widely applied in all age groups. Initial treatment for dysplastic, stable hips was mostly active monitoring, while this was generally a rigid splint in 2011. For dislocated unstable hips, the first step in treatment was generally the Pavlik harness, as in 2011. Conclusion: The diagnostic and treatment pathways of developmental dysplasia of the hip in children under the age of 1 year seem to have partially changed amongst Dutch paediatric orthopaedic surgeons compared to 2011, after the publication of new guidelines. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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