
Jagar Omar Doski
Duhok Emergency Teaching Hospital , IraqTitle: An upgrade of the international hip dysplasia institute classification for the developmental dysplasia of the hip
Abstract
Background and
Objectives: The purpose of the current study was to upgrade the International
Hip Dysplasia Institute (IHDI) classification for Developmental Dysplasia of
the Hip (DDH).
Methods: The
upgrading was suggested by adding the state of the acetabulum (Type A for the
normal acetabulum and Type B for the dysplastic one). The pelvic radiographic
films of 110 children suspected to have DDH were used by three observers to
sort out the hips into grades according to the original form and the suggested
upgraded one subsequently.
Results: The
interobserver reliability between the observers improved from a good level (ICC
0.885, 95% CI 0.856-0.909) with the original form to an excellent one (ICC
0.919, 95% CI 0.898-0.936) when the
upgraded form was used. When the upgraded form was used, only the hips of Grade
1 were distributed into Types A and B. While those hips assessed as Grade 2, 3,
and 4 were all graded as Type B only.
Conclusion: The
IHDI classification for DDH can be upgraded into Grade 1A, Grade 1B, Grade 2,
Grade 3, and Grade 4.
Biography
Jagar Omar Doski was graduated
from the College of Medicine, University of Mosel at 1996. He fulfilled the
requirements for the Fellowship of the Iraqi Commission for Medical
Specialization in Baghdad and awarded Ph.D. degree in Orthopedic surgery at 2004.
He became a Consultant Orthopedic Surgeon at 2017. He achieved the Assistant
Professor promotion degree from the College of Medicine, University of Duhok at
2021. He is working as an Orthopedic Surgeon in the Orthopedic Department,
Duhok Emergency Teaching Hospital since 2004 till now. He is one of the
teaching staff in the Department of Surgery, College of Medicine, University of
Duhok since 2004 till now for the Orthopedics subject. He published 10 articles
in peer reviewed medical journals.