Double innominate osteotomy and the Smith-Petersen technique in the treatment of developmental hip disorder

Brdar, Radivoj; Petronić, Ivana; Abramovic, Dusan; Nikolić, Dejan; Lukač, Marija; Ćirović, Dragana

doi:10.1080/00015458.2011.11680697

Cited by 1 publication

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“…Early diagnosis of DDH in neonates is the most critical obligation for achieving the best outcome, using a simple, non-surgical method in the shortest possible time [ 8 – 11 ]. Delayed diagnosis results in losing the potential to remodel the acetabular roof, lengthening the treatment duration, and may cause lifelong disability [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of quality and interpretation of newborn ultrasound screening examinations for developmental dysplasia of the hip by basically trained nurses and junior physicians with no previous ultrasound experience

Ulziibat,

Munkhuu,

Schmid

et al. 2024

PLoS ONE

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Background We are obliged to give babies the chance to profit from a nationwide screening of developmental dysplasia of the hip in very rural areas of Mongolia, where trained physicians are scarce. This study aimed to compare the quality and interpretation of hip ultrasound screening examinations performed by nurses and junior physicians. Methods A group of 6 nurses and 6 junior physician volunteers with no previous ultrasound experience underwent Graf’s standard training in hands-on practice. Newborns were examined before discharge from the hospital, according to the national guideline. Two standard documentation images of each hip were saved digitally. The groups were compared on the proportion of good quality of sonograms and correct interpretation. Two Swiss supervisors’ agreed diagnosis according to Graf was considered the final reference for the study purposes. Results A total of 201 newborns (402 hips or 804 sonograms) were examined in the study, with a mean age of 1.3±0.8 days at examination. Junior physicians examined 100 newborns (200 hips or 400 sonograms), while nurses examined 101 newborns (202 hips or 404 sonograms). The study subjects of the two groups were well balanced for the distribution of baseline characteristics. The study observed no statistically significant difference in the quality of Graf’s standard plane images between the providers. Eventually, 92.0% (92) of the physician group and 89.1% (90) of the nurse group were correctly diagnosed as “Group A” (Graf’s Type 1 hip) or “Non-Group A” hips (p = 0.484). The most common errors among the groups were a missing lower limb, wrong measurement lines, and technical problems. Conclusion Our study provides evidence that while there might be a trend of slightly more technical mistakes in the nurse group, the overall diagnosis accuracy is similar to junior physicians after receiving standard training in Graf’s hip ultrasound method. However, after basic training, regular quality control is a must and all participants should receive refresher trainings. More specifically, nurses need training in the identification of anatomical structures.

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Section: Introductionmentioning

confidence: 99%

Comparison of quality and interpretation of newborn ultrasound screening examinations for developmental dysplasia of the hip by basically trained nurses and junior physicians with no previous ultrasound experience

Ulziibat,

Munkhuu,

Schmid

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

Double innominate osteotomy and the Smith-Petersen technique in the treatment of developmental hip disorder

Abstract: In this paper we discuss the advantages and disadvantages of double osteotomy procedures compared with others that are used in the correction of developmental hip disorder. The best solution is adequate and timely diagnosis with proper correction of the deformity.

Cited by 1 publication

References 9 publications

Comparison of quality and interpretation of newborn ultrasound screening examinations for developmental dysplasia of the hip by basically trained nurses and junior physicians with no previous ultrasound experience

Comparison of quality and interpretation of newborn ultrasound screening examinations for developmental dysplasia of the hip by basically trained nurses and junior physicians with no previous ultrasound experience

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