SYSTEMIC PARAMETER ESTIMATION FOR THE DIAGNOSIS AND TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP IN CHILDREN

摘要

The human being is a complex entity as such has a set of features that makes it different compared to other living beings. The bio -psycho- social conception of the human being is part of systems thinking: a totality organized by a number of interrelated and interdependent entities. From its origins science has tried to explain reality and seek control of those natural and transcendental phenomena that take place in it: the life, illness and death. Disease and / or medical conditions affecting the health of people for settlement have developed models, techniques and tools to use the response time decreases. These have evolved into a transition aimed not only significantly prolong the years of life and survival of a patient, but also the well-being or quality of life related to health, which refers to the consequences of disease or treatment on physical , emotional and social wellbeing of a person. The change in the health model allows reviewing the definition of health and health care. Practically, this model argues that health systems should consider this continuum of biological, psychological and social factors at diagnosis and establishment of treatment which will help to effectively manage the process of health and illness in a person, covering the evolution, the course of illness and recovery and/or rehabilitation of the individual. As medicine has evolved, have been discovered diseases that affect the health of people and produce both partial and total in these conditions, preventing the development of skills and attitudes within society. Within the range of diseases and/or conditions are those that damage the lower or hind limb of the human body (hip). One of these conditions is Developmental Dysplasia of the Hip (DDH) in children, which is presented as a condition of uncertain origin, evolution insidious and discouraging treatment if your diagnosis is not made early. The surgical procedure is often very invasive for the patient, since the bone composition is not fully formed and can cause secondary conditions that diminish their ability to lead a normal adult life. From a mono-disciplinary approach may provide a solution to this problem, but not entirely. With the implementation of Systemic Methodologies and Tools we address this problem holistically, because with this implementation, we can obtain the factors affecting our study and thus provide a solution to diminish entirely side effects. It is for this that comes a Systemic Methodology which consists of Soft and Hard Methodologies as an option for the study of Developmental Dysplasia of the Hip (DDH) in children in order to estimate parameters to identify the factors affecting the development of this condition at the time of diagnosis and treatment, in order to make improvements in applied surgical procedures and develop options to decision- making by the specialist to reduce risks that may arise and provide quality of life for patients in their family and social environment.