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The Evolution of DDH Management in India
Ashok N Johari1, Ritesh Arvind Pandey2, Suresh Chand3
1Children's Orthopaedic Centre, 2nd Floor, Bobby Apartments, 143 L. J. Road, Mahim (West), Mumbai, 400016 India.
Research on developmental dysplasia of the hip (DDH) in India is scarce and of poor quality, despite its impact on children's quality of life. An increasing trend in DDH research from India was observed.
Area of Science:
- Paediatric Orthopaedics
- Developmental Dysplasia of the Hip (DDH)
Background:
- Developmental dysplasia of the hip (DDH) is a common paediatric condition with significant quality-of-life implications if untreated.
- Understanding the historical contributions to DDH knowledge from India is crucial.
Purpose of the Study:
- To review the historical development and summarise evidence on developmental dysplasia of the hip (DDH) in India since 1920.
- To identify and acknowledge key Indian contributions to the field of DDH.
Main Methods:
- Collated information from senior author recollections, existing records, and expert contributions.
- Conducted a Medline search for English-language Indian literature on DDH.
- Categorised included studies (original research, reviews, case series, etc.) to assess their impact.
Main Results:
- Identified 63 published studies on DDH from India, with most published between 2011 and 2020.
- Retrospective cohort studies and reviews constituted 46% of the literature.
- Observed an increasing trend in DDH research publications from India.
Conclusions:
- Significant scarcity of DDH research from India and prevalent knowledge gaps exist.
- The overall quality of published DDH literature from India is poor, with limited high-quality original research.
- Despite limitations, there is a growing trend in DDH research within India.
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