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Journal of Children's Orthopaedics

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Open Access 01-02-2014 | Original Clinical Article

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: the Austrian hip screening program

Authors: Christoph Thallinger, Renata Pospischill, Rudolf Ganger, Christof Radler, Christoph Krall, Franz Grill

Published in: Journal of Children's Orthopaedics | Issue 1/2014

Abstract

Background

Diagnosis and early treatment of developmental dysplasia of the hip (DDH) continue to be issues of discussion. In 1992, a nationwide general ultrasound screening program using Graf technique was introduced to detect DDH in Austria. We investigated the effects of this program on the rates of operative and conservative interventions and the influence of the program on the number of hospital admissions for the treatment of DDH.

Methods

All cases of DDH documented in Austrian hospitals from 1992 to 2008 were included in this retrospective study. The database of the Austrian Ministry of Health was used to extract documented diagnoses and treatments.

Results

Since the introduction of the screening program, the number of patients who require pelvic surgery to treat DDH has decreased by 46 % and the number of open reductions is as low as 0.16 per 1,000 live births. Hospital admissions for the treatment of DDH decreased from 9.5 to 3.6 per 1,000 live births. All noted results gained statistical significance.

Conclusion

Compared with routine clinically based screening programs, our results confirm low numbers of open reductions and pelvic surgeries. We, therefore, advocate a standardized nationwide general ultrasound screening program to reduce the rates of operative interventions and hospital admissions associated with the treatment of DDH.

Level of evidence

Level III, diagnostic

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Title: Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: the Austrian hip screening program
Authors: Christoph Thallinger
Renata Pospischill
Rudolf Ganger
Christof Radler
Christoph Krall
Franz Grill
Publication date: 01-02-2014
Publisher: Springer Berlin Heidelberg
Published in: Journal of Children's Orthopaedics / Issue 1/2014
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI: https://doi.org/10.1007/s11832-014-0555-6

2024 ASCO Annual Meeting

Springer Medicine

Long-term results of a nationwide general ultrasound screening system for developmental disorders of the hip: the Austrian hip screening program

Abstract

Background

Methods

Results

Conclusion

Level of evidence

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Level of evidence

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