The Evolution of DDH Management in India

Hip and Happening: Current Concepts in the Diagnosis and Management of Developmental Dysplasia of the Hip in 2022

“…Two review articles [10,11] scope the incidence, diagnosis and evolution of treatment practices of DDH in India-highlighting the knowledge gaps and the lack of good-quality evidence regarding DDH management in India. Controversy still exists regarding the natural history of clinically unstable hips and radiographic dysplasia diagnosed in infancy, and Shaeffer et al performed a systematic review to update the clinical practice guidelines published by the American Academy of Orthopaedic Surgeons (AAOS) in 2014 [12].…”

“…Until a nation-wide hip screening programme is adopted and implemented throughout the country, late-presenting DDH detected after the walking age will continue to be a challenge in India. This was highlighted by Prof. Joseph in his study 18 years ago [3], by several other studies from India over the past two decades [10,11], and more recently by the IHDR-India group where the median age at presentation was over 2 years of age [9]. Lucchesi et al [26] performed a systematic review of literature to assess the long-term outcomes of late-detected DDH treated after the walking age.…”