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Congress: ECR25
Poster Number: C-11872
Type: Poster: EPOS Radiologist (scientific)
Authorblock: Y. A. Brakhas; Erbil/IQ
Disclosures:
Yusra Almas Brakhas: Nothing to disclose
Keywords: Paediatric, Ultrasound, Health policy and practice, Safety, Treatment effects, Congenital, Dysplasias, Outcomes
Purpose • This guideline is considered as the first guideline that unify the three medical branches responsible for DDH management (radiology, pediatric and orthopedic surgery) to deliver a single guideline aimed to enhance DDH management in Kurdistan region of Iraq by promoting early diagnosis, safe therapies, and optimal practices. DDH is a significant pediatric condition encompasses a range of hip abnormalities, including partial or complete dislocation of the femoral head, acetabular dysplasia, and hip instability [1], that requires early diagnosis and...
Read more Methods and materials 1.1. Study Design -This study was designed as a comprehensive review and synthesis of current guidelines for the diagnosis and management of DDH from multiple clinical perspectives and were compiled from three specialists: a pediatrician, a radiologist, and an orthopedic surgeon. The study aimed to integrate these perspectives into a cohesive guideline to enhance the understanding and management of DDH.1.2. Data Collection :1.2.1. Literature Review -The initial step in creating the guideline involved conducting an extensive literature review. Academic databases...
Read more Results The novelty of the present study lies in its focus on developing a comprehensive management guideline tailored to the needs of clinicians in specific regions, such as Iraq. Despite the availability of various treatment options, gabs in the literature exist regarding the optimal managment of DDH in different regions ,Therefore, the present study aims to address the gaps by developing a regional management guideline for DDH that clinicians in Iraq and other Middle Eastern countries can use.1. Pediatrician guideline :...
Read more Conclusion -The Kurdistan guidelines for DDH management are well-aligned with international standards, incorporating both evidence-based practices and regional considerations. The focus on early diagnosis, structured treatment protocols, and thoughtful integration of cultural factors make this guideline a robust tool for improving DDH outcomes in the region. Development of such guideline was a necessary step; however. It has been adapted to the cultural context and health standard of the local community. Future updates could benefit from incorporating the latest research findings and...
Read more References 1. Doski JO. Definition of Developmental Dysplasia of the Hip: Literature Review. Mustansiriya Medical Journal. 2022;21(1):1-7. https://doi.org/10.4103/mj.mj_3_212. Rosenberg N, Bialik V, Norman D, Blazer S. The importance of combined clinical and sonographic examination of instability of the neonatal hip. International orthopaedics. 1998;22(3):185-8. 10.1007/s0026400502383. Kilsdonk I, Witbreuk M, Van Der Woude HJ. Ultrasound of the neonatal hip as a screening tool for DDH: how to screen and differences in screening programs between European countries. Journal of ultrasonography. 2021;21(85):e147-e53. https://doi.org/10.15557%2FJoU.2021.00244. AIUM–ACR–SPR–SRU Practice...
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