{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:07:55Z","timestamp":1786122475822,"version":"build-2736575974"},"reference-count":14,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Pandemics and natural disasters may delay the diagnosis and treatment of developmental dysplasia of the hip (DDH). In this study, we evaluated the effect of 2023 Kahramanmara\u015f earthquake-induced healthcare disruption on the DDH screening program. Methods: Medical records of infants referred for DDH screening between February 2022 and February 2025 were retrospectively reviewed. Three consecutive twelve-month intervals: the pre-earthquake year (February 2022 to February 2023), the earthquake year (February 2023 to February 2024), and the post-earthquake year (February 2024 to February 2025) were evaluated to detect early and late effects of the earthquake on the DDH screening. Results: A thousand infants in the pre-earthquake year, 404 in the earthquake year, and 824 in the post-earthquake year were evaluated. A 60% reduction in referrals was detected during the earthquake year. DDH incidence in late presentations during pre-earthquake, earthquake, and post-earthquake years was 18.6%, 45.8%, and 22.2%, respectively. Pairwise analysis revealed a statistically significant increase in the post-earthquake year compared with the pre-earthquake period (Yates-corrected chi-square = 4.119, p = 0.042). No significant difference was found between the pre-earthquake year and the earthquake year (Yates chi-square = 1.362, p = 0.243), nor between the post-earthquake years (Yates chi-square = 0.084, p = 0.772). Conclusions: The earthquake caused significant disruption in healthcare and DDH screening. Health authorities planning post-disaster service recovery should proactively augment DDH screening capacity for infants who missed screening during the acute phase.<\/jats:p>","DOI":"10.3390\/children13081055","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T10:12:01Z","timestamp":1786097521000},"page":"1055","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Earthquake-Induced Healthcare Disruption on an Established Developmental Hip Dysplasia Screening Program in an Earthquake Zone"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6167-3952","authenticated-orcid":false,"given":"Okan","family":"Aslant\u00fcrk","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan Nisa","family":"\u00c7abuk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Ergen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin Utku","family":"\u00d6zde\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8588-5623","authenticated-orcid":false,"given":"F\u0131rat","family":"Al","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9888-952X","authenticated-orcid":false,"given":"Tahsin","family":"Sar\u0131bas","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Ertem","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Karakaplan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi","family":"Demir\u00f6z Ta\u015folar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0267-3295","authenticated-orcid":false,"given":"H\u00fcseyin","family":"Ayvaz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, Faculty of Medicine, Inonu University, Malatya 44280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0657-2213","authenticated-orcid":false,"given":"Aybars","family":"K\u0131vrak","sequence":"additional","affiliation":[{"name":"Private Clinic, Adana 01120, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eenol","family":"Bekmez","sequence":"additional","affiliation":[{"name":"Texas Children\u2019s Hospital, Baylor College of Medicine, Houston, TX 77030, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s11832-014-0599-7","article-title":"The costs of late detection of developmental dysplasia of the hip","volume":"8","author":"Woodacre","year":"2014","journal-title":"J. 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Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/BPB.0000000000001110","article-title":"Six years of experience with the nationwide newborn ultrasonographic hip screening program in Turkey: A considerable change in the type of surgical interventions in developmental dysplasia of the hip","volume":"33","author":"Kapicioglu","year":"2024","journal-title":"J. Pediatr. Orthop. B"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Mert Dogan, G., and Aslanturk, O. (2021). Does the COVID-19 pandemic cause late diagnosis and delay in treatment in developmental dysplasia of hip patients?. Int. J. Clin. 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Orthop."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/8\/1055\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T10:24:25Z","timestamp":1786098265000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/8\/1055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":14,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["children13081055"],"URL":"https:\/\/doi.org\/10.3390\/children13081055","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]}}}