Developmental Dysplasia of the Hip in Duhok Governorate

Abstract

AbstractObjectives: This study was conducted to assess the importance and effects of various variables which might have influence in developmental dysplasia of the hip occurrence such as gender, date, place and season of birth, mother's and father's literacy, parent's consanguinity, defect side, number of children in the family, mother's age, family history of developmental dysplasia of the hip and presence of other congenital deformities.Methods: A descriptive cross sectional study design was conducted for 6 months from 1st. Oct.2006 to 1st.April, 2007. Non-randomized consecutive sample of 1234 were collected from the early detection of childhood disabilities center (E.D.C.D.C.) of Duhok. The population involved was infants of both sexes aged (1day-24 months), i.e. the entire cases that attended the centre during the period from 1/1/2005 to 30/12/2006. Patients’ registers or records from (E.D.C.D.C.) were used to collect data about developmental dysplasia of the hip.Results: The results indicated that (43.1%) of developmental dysplasia of the hip cases occur in winter, girls mainly suffer from developmental dysplasia of the hip (66%), bilateral affection was more common (62.1%), the mother's age group of(16-25 years) had the highest occurrence (45.6%), consanguineous parents constitute (54.5%), deliveries conducted in hospitals (89.8%) constituted significantly the highest rate of developmental dysplasia of the hip cases, illiterate mothers (57.8%) were the highest, fathers having primary education were highest and constituted (38.5%), the group with no other disabled children within the same family was the highest (75.4%), the highest rate of developmental dysplasia of the hip cases observed was in families having (1-4) children (77.1%), and finally developmental dysplasia of the hip patients with no other disabilities were the highest (96.6%).Conclusion: The study reveals that the developmental dysplasia of the hip highest during winter, females with DDH were found to be higher than males, patients with bilateral developmental dysplasia of the hip were confirmed to be the highest, mothers aged below 35 years were found to have high rate of child with developmental dysplasia of the hip, consanguineous parents’ group was seen to be more related with developmental dysplasia of the hip followed by non consanguine group, developmental dysplasia of the hip cases were found to be more in deliveries conducted at hospitals, non-medical factors such as mother's and father's literacy were noticed to be of importance in DDH occurrence, developmental dysplasia of the hip cases were not associated with other disabled children within the same family, the small size group, had highest frequency of developmental dysplasia of the hip, and patients with no other disabilities were found to be the commonest. Key words: Developmental dysplasia of the hip In Duhok