Bingöl Izzet, Taşcı Murat, Yaşar Niyazi Erdem, Ata Naim, Ülgü M Mahir, Birinci Şuayip, Sağlam Yavuz, Söylemez Mehmet Salih
Faculty of Medicine, Ankara Oncology Training and Research Hospital, Health Sciences University, Ankara, Turkey.
Department of Orthopaedics and Traumatology, Umraniye Training and Research Hospital, Istanbul, Turkey.
J Child Orthop. 2024 Dec 11;19(1):99-105. doi: 10.1177/18632521241299318. eCollection 2025 Feb.
In this study, we examined whether there was a change in the number of children who had been screened by hip ultrasound, the age of first diagnosis, and the number of invasive and conservative treatments applied due to developmental dysplasia of the hip between 2016 and 2022 among refugees who were in "Temporary Protection Status" in Türkiye?
The records were collected via the e-health database of the Turkish Ministry of Health. Over 1 month old were included in the study.
The number of ultrasonography (USG) that was performed for developmental dysplasia of the hip survey had significantly increased over time. The incidence for 5 years was 6 cases per 100 babies. However, the incidence of developmental dysplasia of the hip needing intervention was 0.4 cases per 1000 babies. In 2016, the most used diagnosis method was X-ray. By contrast, the use of USG has increased from 2016 to 2022. The mean age at the time of diagnosis was significantly high in 2016, 2017, and 2020. The number of invasive treatment modalities including closed reduction under anesthesia, open reduction alone, or open reduction with pelvic and/or femoral osteotomies had significantly decreased from 2016 to 2022. However, the number of abduction orthosis used for treatment also increased significantly.
Free access to health services is effective in promoting families' compliance with screening programs for developmental dysplasia of the hip. But is not enough for initial periods of mass migrations. To increase sensitivity to screening programs for possible diseases, further efforts are needed to prevent low compliance in early cases of mass migrations.
在本研究中，我们调查了2016年至2022年期间，处于土耳其“临时保护状态”的难民中，接受髋关节超声筛查的儿童数量、首次诊断年龄以及因髋关节发育不良而采用的侵入性和保守治疗的数量是否发生了变化？
通过土耳其卫生部的电子健康数据库收集记录。研究纳入了1个月以上的儿童。
随着时间的推移，因髋关节发育不良调查而进行的超声检查（USG）数量显著增加。5年的发病率为每100名婴儿中有6例。然而，需要干预的髋关节发育不良的发病率为每1000名婴儿中有0.4例。2016年，最常用的诊断方法是X射线。相比之下，从2016年到2022年，USG的使用有所增加。2016年、2017年和2020年诊断时的平均年龄显著较高。从2016年到2022年，包括麻醉下闭合复位、单纯开放复位或开放复位加骨盆和/或股骨截骨术在内的侵入性治疗方式的数量显著减少。然而，用于治疗的外展矫形器的数量也显著增加。
免费获得医疗服务有助于提高家庭对髋关节发育不良筛查项目的依从性。但在大规模移民的初期是不够的。为了提高对可能疾病筛查项目的敏感性，需要进一步努力，以防止在大规模移民早期出现低依从性情况。
