Final Report for 2017 DDH Educational Course

Final Report for 2017 DDH Educational Course

Hip Dysplasia is four times more common in Ecuador than any other South or Central American country. IHDI has initiated efforts to improve this in Ecuador with education for the public and for health care workers. Many children still undergo traditional swaddling as shown in the photo. Dr. Price and MAB member, Pablo Castaneda (photo) helped organize and participate in a program to teach early diagnosis and treatment. They also met with local physicians to help determine the potential of a public relations campaign to influence swaddling practices.

Here is a review of that program.


Final Report For POSNA SEOT COUR DDH Educational Course.

Course title:  Curso POSNA/Ortopedia Infanti.  Developmental Dysplasia of the Hip.

Sponsors:  POSNA, Sociedad Ecuatoriana de Ortopedia Y Traumatologia. International Hip Dysplasia Institute, Orlando, FL.

Local hosts:  Telmo Tapia SEOT, Ivan Vallejo SEOT Vice President.

SEOT President:  Dr. Esteban Santos, Quito.

Location: Centro de Convenciones Mall del Rio, Hotel Four Seasons,  Cuenca, Ecuador

Date October 6, 2017

The conference was a pre course to the National meeting in Ecuador.


Background:  Hip Dysplasia is an unsolved problem in Ecuador.  Tight swaddling is still practiced in many regions of the country.  There is often inadequate public education to discourage excessively tight swaddling.  Early detection is not universally practiced by primary care providers.  There is not a quick response system to provide early and safe treatment for infants who are detected.  As a result, treatment is often delayed or or non existant.  When surgical treatment is provided, it may be too late or not performed correctly.  SEOT, POSNA and IHDI have partnered to provide this one day educational Pre- course to the SEOT national meeting.  Target audience was general orthopaedic surgeons, pediatric orthopaedic surgeons, pediatricians and other providers.  POSNA provided funding for simultaneous translation, AV, scholarships, and advertising expenses.  IHDI provided faculty and hip models.  Since the DDH one day meeting preceded the SEOT national meeting, there was economy in the facility and a larger pool of potential attendees.


Approximately 100 participants were in attendance.  There was simultaneous translation so the pace of the meeting was appropriate.  Case discussions were lead by US faculty.  Chad Price introduced many of the teaching methods of IHDI.  Audience participated very well.



This was a one-day course dedicated to developmental dysplasia of the hip.  Since it preceded the SEOT national meeting, facilities, faculty and attendees were more efficiently organized.  SEOT, POSNA and IHDI worked cooperatively to create this meeting.  Its success depended on a strong local host, Telmo Tapia, 2012 IPOS COUR scholar.  POSNA provided funding for simultaneous translation, scholarships, AV, plastic models.


Schwend  10/20/17

Despite educational attempts, cultural factors continue to dominate family decision to swaddle infant.

Dr. Pablo Castanada demonstrating ultrasound assisted Physical exam of an infant.  Portable transducer and smart phone can be useful to perform DDH screening.

Our gracious hosts:  Telmo and Ximena Tapia, Cuenca, Ecuador.  Dr. Tapia was 2012 COUR IPOS visiting scholar.