Burden of developmental dysplasia of hip among neonates in a tertiary care setting of Odisha

Developmental dysplasia of the hip (DDH) is one of the commonest orthopaedic problem in new-borns. Aim & Objective: To determine the incidence of DDH on clinical screening of neonates. Materials & Methods: All new-borns, born in our institution during August 2016 to July 2017, fulfilling inclusion criteria and giving written informed consent were sampled consecutively and screened clinically for DDH by performing clinical tests namely Ortolani's and Barlow's tests for neonatal hip instability. Screening for other clinically apparent orthopaedic disorders was also done. Results: Of a total of 1414 new-borns screened 740 were male and 674 were female. 617 were born by a vaginal delivery and 797 were born by Caesarean Section. 1204 were born at full term and 210 were preterm before 36 weeks of gestation. None of the neonates examined had any clinical signs suggestive of DDH like Barlow's and Ortolani's test or restricted abduction of the hip. Conclusion: Our study reported zero incidence of DDH. Larger sample size studies are needed to better understand the incidence of DDH in India.