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Suemmy Gaytán-Fernández 1, César Ortiz-Santiago 2, Rodolfo G. Barragán-Hervella 1, 3, Jorge Quiroz-Williams 1, José P. Martínez-Asención 2, Mariana E. Olvera-Almazán 2, Brenda J. Oyarzábal-Aguirre 4, Carlos R. Rueda-Alvarado 2
1 Servicio de columna y cadera, Unidad Médica de Alta Especialidad, Hospital de Traumatología y Ortopedia Manuel Ávila Camacho, Instituto Mexicano del Seguro Social; Mexico City, México; 2 Dirección de Educación e Investigación en Salud y Servicio de Ortopedia Pediátrica, Unidad Médica de Alta Especialidad Hospital de Traumatología y Ortopedia Manuel Ávila Camacho, Instituto Mexicano del Seguro Social, Puebla, México; 3 Servicio de Ortopedia, Hospital de Especialidades 5 de mayo, Instituto de Seguridad y Servicios Sociales de los Trabajadores al Servicio de los Poderes del Estado de Puebla, Puebla, México; 4 Programa de Servicio Social, Facultad de Medicina, Universidad Popular Autónoma del Estado de Puebla, Puebla, México
Suemmy Gaytán-Fernández, César Ortiz-Santiago, Rodolfo G. Barragán-Hervella, Jorge Quiroz-Williams, José P. Martínez-Asención, Mariana E. Olvera-Almazán, Brenda J. Oyarzábal-Aguirre, Carlos R. Rueda-Alvarado
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*Correspondence: Jorge Quiroz-Williams. Email: jorge.quirozw@imss.gob.mx
Objective: Describe the opportunity that exists in the treatment of patients diagnosed with developmental dysplasia of the hip (DDH), according to their reference age. Methods: Analytical observational study of the review of records of patients with primary DDH. For the analysis, patients were divided according to the type of treatment: conservative (TxCons) or surgical (TxQx). It was also determined whether surgical intervention was required after failure of conservative treatment. Statistical analysis was performed with t-Student. The value that was taken as statistically significant at p < 0.05. Results: Sample of 233. Female 66.5%. TxCons 71.7% and TxQx 28.3%; surgical intervention after conservative treatment 11.2%. Ages TxCons and TxQx: reference 2.4 ± 3.9 and 32.6 ± 35.6 months (p = 0.001), attention 2.9 ± 4.0 and 31.2 ± 34.5 months (p = 0.001), and attention time of the first consultation 0.4 ± 0.1 and 0.5 ± 0.24 months (p = 0.001). Conclusions: Most of the patients in this study, who presented DDH, were treated conservatively, because they were appropriately referred before 2 months of age.
Content available only in Spanish.
