The Effect of the Parents’ Socio-Economic Status on the Treatment Process With the Orthopedic Approach in Developmental Dysplasia of the Hip

Abstract

Aims: Developmental dysplasia of the hip (DDH) is a common multifactorial pediatric disease. Physical examination and ultrasonographic findings are used in the screening. The severity of DDH in 0-6 month-old infants is determined by Graf classification. The severity of DDH and the age of the patient before treatment have been shown to be among the main factors determining the success rate. Socio-economic conditions of the parents also affects the success rate of Pavlik harness treatment. In this study, socio-economic and socio-cultural factors that affect the treatment success of Pavlik harness method were aimed to be determined. Methods: The study was carried out on 66 infants with DDH between the ages of 0-6 months who admitted to the orthopedics and traumatology outpatient clinic between 2018-2020. Interviews were conducted with the families of the infants using the questionnaire technique. Results: All of the patients were given care by their mothers. It has been observed that there is a relationship between the education level and the success of the Pavlik harness. Also, income level of the household and living in rural and urban areas are also associated with Pavlik bandage treatment. Conclusion: Education level, place of residence and monthly income, which are effective on health literacy, have an impact on the skill level required for Pavlik harness usage.