The Morphology of DDH in Saudi Children in Riyadh, KAMC

Objectives: The overall aim of this research project is to evaluate the morphology of DDH in The Kingdome of Saudi Arabia. Background: DDH is one of the commonest presentations in pediatric orthopedic worldwide. It is defined as “Developmental dysplasia of the hip which represents a spectrum of anatomic abnormalities in which the femoral head and the acetabulum are in improper alignment and/or grow abnormally. DDH was termed as congenital dysplasia of the hip but it is found that the disease is not really a birth related. The incidence of DDH varies between 1.5 and 20 per 1000 births due to a various factors. These factors include diagnostic criteria, gender, genetic and racial factors, and age of the population in question. The presentation of the disease depends on the age, the severity, the site, the duration and many other factors. Methods: This is a retrospective hospital based clinically reviewed research in which data collected and analyzed in king Abdul Aziz medical city in Riyadh, Saudi Arabia (KAMC-R) which is a 1000-bed specialized health care institution that covers a wide range of secondary and tertiary care specialties. All Saudi and non-Saudi consecutive male and female patients who were diagnosed with DDH and underwent surgical management since birth up to the age of 14 at KAMC-R were eligible study candidates from July 2007 to July 2014. Results: Results show among 136 patients who underwent surgical intervention for DDH correction, 106 of them (77.9%) were female. Negative family history was shown in 91 patients (66.9%) and Primigravida were in 18 patients only (13.2%). Vertex presentation during delivery was shown in 69 (71.1%) patient and 108 patients were term (80%). Average Wight of those patients after delivery was 3.12+0.05 and average age of their mothers was 29.5+0.7. The common sides affected by DDH were bilateral (77), left (32) and right (27), respectively. Close reduction was surgery approach for 90 patients (69.8%) while open reduction and pelvic ostetomy were in 26 (20.2%). Also, femoral shortening was approached in 13 patients (10%); Common complications for surgical intervention were limping (33), stiffness (26), redislocation (5) avascular necrosis (5), respectively. Conclusion: Evidence-Based first aid and prevention guidelines were developed for Flanders. This manual will be used as a basis for the first aid courses provided by the Belgian Red Cross-Flanders.