Management preferences of orthopedic surgeons in developmental dysplasia of the hip under 1 year of age in Türkiye: Results of a nationwide cross-sectional survey

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dc.authorscopusid57190227464en_US
dc.authorscopusid57204978474en_US
dc.authorscopusid57203937545en_US
dc.authorscopusid56197694700en_US
dc.authorscopusid57204009805en_US
dc.authorscopusid23768513300en_US
dc.authorscopusid55751265000en_US
dc.authorwosidSöylemez, Mehmet Salih/AAZ-1399-2020en_US
dc.contributor.authorCetin, Baki Volkan
dc.contributor.authorBakircioglu, Sancar
dc.contributor.authorCiftci, Sadettin
dc.contributor.authorSoylemez, Mehmet Salih
dc.contributor.authorErkus, Serkan
dc.contributor.authorTurhan, Yalcin
dc.contributor.authorCamurcu, Ismet Yalkin
dc.date.accessioned2024-08-23T16:03:25Z
dc.date.available2024-08-23T16:03:25Z
dc.date.issued2023en_US
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective: This study aimed to evaluate the diagnosis and treatment preferences of orthopedic surgeons in developmental dysplasia of the hip (DDH) cases under the age of 1 in Turkiye with a higher incidence of DDH, estimated to be around 5-15 per 1000 live births. Methods: This was a nationwide cross-sectional survey. A link for the online survey, including 16 multiple-choice questions, was sent to the email group of the National Orthopedic Society. Results: Among 233 filled -out surveys, 211 met the inclusion criteria. Half of the participants had experience of <10 years as orthopedic surgeons, managed <25% of pediatric patients in daily practice, and treated <25 DDH cases per year before walking age. Ninety-seven percent used more than one method, hip ultrasound the most common, for exact diagnosis of DDH under 6 months. Pavlik harness was the most commonly preferred brace, but the use of Tubingen orthosis increased among experienced surgeons. The uppermost age limit for bracing was higher in surgeons dealing with more pediatric patients and treating more DDH cases. Dislocated hips and hips requiring closed/open reduction were more commonly referred to other surgeons by less experienced surgeons in terms of years, number of pediatric patients, and treated DDH cases per year. The lowest age limit for intervention under general anesthesia was lower in surgeons treating >25 DDH cases per year. Over one-third used both anterior and medial approach open reduction, but a trend to anterior open reduction alone was more evident in surgeons treating >50 DDH cases per year. More experienced surgeons were more prone to check the intraoperative reduction with postoperative computed tomography or magnetic resonance imaging. Diagnosis and treatment ages of DDH cases did not significantly change during the coronavirus disease 2019 pandemic. Conclusion: Management preferences of orthopedic surgeons in DDH before walking age primarily depend on the rate of pediatric patients in daily practice and the number of treated DDH cases per year.en_US
dc.identifier.doi10.5152/j.aott.2023.23080
dc.identifier.issn1017-995X
dc.identifier.issn2589-1294
dc.identifier.issue6en_US
dc.identifier.pmid38131337en_US
dc.identifier.scopus2-s2.0-85182466416en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.trdizinid1246536en_US
dc.identifier.urihttps://doi.org/10.5152/j.aott.2023.23080
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1246536
dc.identifier.urihttps://hdl.handle.net/20.500.12684/13741
dc.identifier.volume57en_US
dc.identifier.wosWOS:001186631200010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Orthopaedics Traumatologyen_US
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDevelopmental Dysplasia of the Hipen_US
dc.subjectTreatmenten_US
dc.subjectDiagnosisen_US
dc.subjectCase Managementen_US
dc.titleManagement preferences of orthopedic surgeons in developmental dysplasia of the hip under 1 year of age in Türkiye: Results of a nationwide cross-sectional surveyen_US
dc.typeArticleen_US

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