{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:48:53Z","timestamp":1782395333451,"version":"3.54.5"},"reference-count":18,"publisher":"Pensoft Publishers","issue":"3","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    <jats:bold>Introduction<\/jats:bold>\n                    : Developmental dysplasia of the hip (DDH) is a common orthopedic disorder in infants, and accurately assessing the success of reduction is critical for achieving positive outcomes. While native radiography has traditionally been the standard postoperative imaging modality, its diagnostic limitations have prompted consideration of computed tomography (CT) as an alternative.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Aim<\/jats:bold>\n                    : The goal was to compare the diagnostic efficacy of native radiography and CT in evaluating the success of closed reduction in DDH.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Materials and methods<\/jats:bold>\n                    : A total of 50 patients (100 hips) who underwent closed reduction for DDH were divided into two groups: 25 evaluated by postoperative CT and 25 by native anteroposterior pelvic radiography. The adequacy of reduction was assessed using standardized radiological parameters.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Statistical analyses included comparisons of sensitivity, specificity, and overall accuracy between the two techniques. CT achieved perfect diagnostic performance (100% sensitivity, specificity, and accuracy), while radiography showed lower sensitivity (28.6%), specificity (86.0%), and accuracy (77.6%). The difference between the methods was statistically significant (\n                    <jats:italic>p<\/jats:italic>\n                    &amp;lt;0.001).\n                  <\/jats:p>\n                  <jats:p>This study demonstrates that computed tomography is clinically superior to native radiography for postoperative evaluation after closed reduction in DDH, offering significantly higher diagnostic accuracy and reliability, especially when radiographs are equivocal, while justifying the selective or exclusive use of low-dose CT protocols despite radiation concerns.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : Incorporating low-dose CT protocols can enhance diagnostic confidence while minimizing radiation exposure, ensuring better long-term clinical outcomes.\n                  <\/jats:p>","DOI":"10.3897\/folmed.68.e182430","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:06:27Z","timestamp":1782392787000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the efficacy of native radiography and computed tomography in the evaluation of the closed reduction in developmental dysplasia of the hip"],"prefix":"10.3897","volume":"68","author":[{"given":"Milena Bogojevska","family":"Doksevska","sequence":"first","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoran","family":"Bozinovski","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Georgieva","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"},{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roza Dzoleva","family":"Tolevska","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Foteva","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nenad","family":"Atanasov","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilijam","family":"Velkovski","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilir","family":"Shabani","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Samardziski","sequence":"additional","affiliation":[{"name":"University Clinic for Orthopedic Diseases, Skopje, Republic of North Macedonia"},{"name":"Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"182430_B1","unstructured":"Storer SK, Skaggs DL. Developmental dysplasia of the hip. Am Fam Physician 2006; 74(8):1310\u20136. PMID: 17087424. Available from: https:\/\/www.aafp.org\/pubs\/afp\/issues\/2006\/1015\/p1310.html"},{"key":"182430_B2"},{"key":"182430_B3"},{"key":"182430_B4"},{"key":"182430_B5"},{"key":"182430_B6","doi-asserted-by":"crossref","unstructured":"Mandel DM, Loder RT, Hensinger RN. The predictive value of computed tomography in the treatment of developmental dysplasia of the hip. J Pediatr Orthop 1998; 18(6):794\u20138. Available from: at https:\/\/pubmed.ncbi.nlm.nih.gov\/9821138\/P. PMID: 9821138.","DOI":"10.1097\/01241398-199811000-00018"},{"key":"182430_B7"},{"key":"182430_B8"},{"key":"182430_B9"},{"key":"182430_B10"},{"key":"182430_B11","unstructured":"Mootha AK, Saini R, Dhillon MS, et al. Single slice computed tomography in the evaluation of femoral head reduction after closed reduction in developmental dysplasia of hip in children. Acta Orthop Belg 2005; 71(6):688\u201393."},{"key":"182430_B12"},{"key":"182430_B13"},{"key":"182430_B14","doi-asserted-by":"crossref","unstructured":"Toby EB, Koman LA, Bechtold RE, et al. Postoperative computed tomographic evaluation of congenital hip dislocation. J Pediatr Orthop 1987; 7(6):667\u201370. PMID: 3429651.","DOI":"10.1097\/01241398-198711000-00007"},{"key":"182430_B15"},{"key":"182430_B16","unstructured":"Tachdjian\u2019s Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children, 6th edition. ISBN: 9780323567695. Available from: https:\/\/www.eu.elsevierhealth.com\/tachdjians-pediatric-orthopaedics-from-the-texas-scottish-rite-hospital-for-children-6th-edition-9780323567695.html"},{"key":"182430_B17"},{"key":"182430_B18"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/182430\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/182430\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=182430&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T13:06:33Z","timestamp":1782392793000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/182430\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,6,25]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.68.e182430","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,25]]},"article-number":"e182430"}}