273 The Consequences of a Failed Screening Programme

Abstract Introduction Controversy exists surrounding the efficacy of UK screening programme for developmental dysplasia hip (DDH). Method Clinical records were reviewed in children who treated surgically DDH. Demographic data, age and mode presentation, surgical treatments analysed, as well outcomes, re-operation rate AVN incidence. Late diagnosis was defined greater than 4 months. Results 106 (16 male, 90 female) underwent surgery from 1997 to 2018. 95 hips operated dislocation 22 dysplasia. 13 patients had bilateral dislocations. Of dislocated hips, median at 9 months (IQR 2-19). 56% diagnosed late. In late group 19 15-21). We have identified an increasing trend presentation recent years. This has been matched with operation rates per 1000 births. Conclusions study demonstrates that DDH is being increasingly late, which correlates increased need management. suggests current failing identify a timely fashion, necessitates more aggressive treatment less favourable outcomes.