Hip Dysplasia is 4 instances extra frequent in Ecuador than every other South or Central American nation. IHDI has initiated efforts to enhance this in Ecuador with training for the general public and for well being care employees. Many youngsters nonetheless bear conventional swaddling as proven within the picture. Dr. Worth and MAB member, Pablo Castaneda (picture) helped arrange and take part in a program to show early prognosis and therapy. Additionally they met with native physicians to assist decide the potential of a public relations marketing campaign to affect swaddling practices.

Here’s a evaluate of that program.


Closing Report For POSNA SEOT COUR DDH Academic Course.

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

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

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

SEOT President:  Dr. Esteban Santos, Quito.

Location: Centro de Convenciones Mall del Rio, Resort 4 Seasons,  Cuenca, Ecuador

Date October 6, 2017

The convention was a pre course to the Nationwide assembly in Ecuador.


  • Telmo Tapia MD, former POSNA COUR scholar 2012. SEOT Cuenca Ecuador
  • Chad Worth MD, Worldwide Hip Dysplasia Institute. IHDI, Orlando FL.
  • Pablo Casaneda MD, New York College, Hospital for Joint Illnesses
  • Richard Schwend MD, Kids’s Mercy Hospital.
  • Steve Santora MD Shriners Hospitals for Kids, Salt Lake Metropolis.
  • Carlos Leal MD, SEOT
  • Carlos Rios, SEOT.
  • Jesus Sevillano, SEOT
  • Arturo Almazan, SEOT

Background:  Hip Dysplasia is an unsolved drawback in Ecuador.  Tight swaddling continues to be practiced in lots of areas of the nation.  There’s typically insufficient public training to discourage excessively tight swaddling.  Early detection is just not universally practiced by major care suppliers.  There’s not a fast response system to supply early and protected therapy for infants who’re detected.  In consequence, therapy is commonly delayed or or non existant.  When surgical therapy is offered, it could be too late or not carried out accurately.  SEOT, POSNA and IHDI have partnered to supply this in the future academic Pre- course to the SEOT nationwide assembly.  Target market was basic orthopaedic surgeons, pediatric orthopaedic surgeons, pediatricians and different suppliers.  POSNA offered funding for simultaneous translation, AV, scholarships, and promoting bills.  IHDI offered college and hip fashions.  For the reason that DDH in the future assembly preceded the SEOT nationwide assembly, there was economic system within the facility and a bigger pool of potential attendees.


Roughly 100 individuals had been in attendance.  There was simultaneous translation so the tempo of the assembly was applicable.  Case discussions had been lead by US college.  Chad Worth launched lots of the instructing strategies of IHDI.  Viewers participated very effectively.


  • Nicely organized course previous SEOT Nationwide assembly for prime visibility
  • Very skilled college together with Steve Santora MD
  • Case discussions by Dr. Chad Worth
  • Hip ultrasound examination on toddler by Dr. Pablo Castenada. Used moveable probe and mobile phone
  • Schwend introduced in 3D printed plastic fashions of adolescent DDH, exhibiting pathology and osteotomy
  • Simultaneous translation
  • Major care physicians additionally concerned. Suggestions was that it was excellent course and met the wants of the particiapants
  • Assembly was inside price range.


This was a one-day course devoted to developmental dysplasia of the hip.  Because it preceded the SEOT nationwide assembly, services, college and attendees had been extra effectively organized.  SEOT, POSNA and IHDI labored cooperatively to create this assembly.  Its success trusted a powerful native host, Telmo Tapia, 2012 IPOS COUR scholar.  POSNA offered funding for simultaneous translation, scholarships, AV, plastic fashions.


  • Proceed this mannequin of pre-course connected to their nationwide assembly.
  • Future funding may be very useful for translation, AV scholarships, fashions, promoting.
  • We want particular suggestions and evaluations from the individuals. Standardized precourse and postcourse analysis system needs to be very useful to standardize the standard of the educational expertise.
  • Use similar mannequin to develop trauma course at future nationwide assembly. Invite college from SLAOTI.
  • Palms on sensible instructing, precise ultrasound demonstration, Plastic 3D Fashions are very helpful instructing strategies

Schwend  10/20/17

Regardless of academic makes an attempt, cultural elements proceed to dominate household determination to swaddle toddler.

Dr. Pablo Castanada demonstrating ultrasound assisted Bodily examination of an toddler.  Moveable transducer and sensible cellphone could be helpful to carry out DDH screening.

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


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