The costs of late detection of developmental dysplasia of the hip

• DOI: 10.1007/s11832-014-0599-7
• Publication Date: 2014-06-28T07:32:05Z
• Authors: Timothy Woodacre; A. Dhadwal; T. Ball; C. Edwards; P. J. A. Cox
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Original Clinical Article; Orthopedics and Sports Medicine; Pediatrics, Perinatology, and Child Health; 3. Good health

Debate currently exists regarding the economic viability for screening developmental dysplasia of hip in infants.A prospective study infant over period 1998-2008 (36,960 live births) was performed to determine treatment complexity and associated costs disease detection hospital treatment, related age at presentation modality. The involved programme utilised universal clinical all infants selective ultrasound at-risk infants.One hundred seventy-nine (4.8/1,000) presented with dysplasia. Thirty-four late (> 3 months age) required closed or open reduction. One forty-five < age, 14 whom failed early Pavlik harness treatment. A detailed cost analysis revealed: 131 presenters successful management a £601/child; 34 who surgery (36 hips, 19 closed/17 reductions, one revision procedure) £4,352/child; requiring more protracted (18 four closed/14 seven procedures) £7,052/child.Late causes increased sevenfold increase short-term compared harness.Improved strategies are needed 10 % presenting fail require most complex costly interventions.