To study the cost-effectiveness of clinical screening with ultrasonography (USG) of hip for diagnosing developmental dysplasia of the hip (DDH) in new borns

Dr. Pandurang M. Daule; Dr. Ganesh G.  Zarekar; Dr. Sunil Natha  Mhaske; Dr. Shreya N. Bhate

doi:10.46858/vimshsj.8205

Authors

Dr. Pandurang M. Daule DVVPF’s Medical College & Hospital, Ahmednagar-414111, Maharashtra, India
Dr. Ganesh G. Zarekar
Dr. Sunil Natha Mhaske
Dr. Shreya N. Bhate

DOI:

https://doi.org/10.46858/vimshsj.8205

Keywords:

Dysplasia of the hip (DDH), Graf’s classification, Premature arthritis

Abstract

Aim: To study the cost-effectiveness of clinical screen with ultrasonography (USG) of hip for diagnosing developmental dysplasia of the hip (DDH) in new borns. Methods: Retrospective study (2018-20). Term new borns had (i) target scan at 6 weeks—family history of DDH or breech presentation—and (ii) early scan—abnormal clinical screen. Results: In all, 58 babies had USG scan. Five early scans (Graf’s classification; three Type IIA, one Type IIC and one Type IIIB] and 15 target scans (Type IIA) were reported abnormal. All Type IIA DDH had subsequent 12 weeks' scans normal. Babies with Type IIIB and IIC had hip reduction surgery at 6 and 16 months of age, respectively. At cost 200 INR/scan, total 147?200 INR was incurred against two possible hip replacements prevented. Conclusion: Universal clinical screen with USG of hip can aid in early diagnosis of DDH in newborns. Large population-based studies from developing countries need to look in its cost-effectiveness.

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