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October 1, 1976Journal of Bone and Joint Surgery261 citations

Congenital dislocation of the hip. Use of the Pavlik harness in the child during the first six months of life

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PRPL RamseySLS LasserGMG. Dean MacEwen

Key Points

  • To evaluate the efficacy of the Pavlik harness in treating congenital dislocation of the hip in infants.
  • Twenty-three infants under six months old with twenty-seven dislocated hips treated with a Pavlik harness from 1968 to 1972.
  • All patients followed for over two years, assessing clinical and roentgenographic outcomes.
  • Successful reduction of all but three dislocated hips; only one child required hospitalization.
  • Follow-up showed all but three hips were clinically and roentgenographically normal, with no cases of avascular necrosis.

Abstract

From 1968 to 1972, twenty-three infants under six months old with twenty-seven dislocated hips were treated with a Pavlik harness. All the dislocations except three were successfully reduced. Only one child required hospitalization. All the patients were followed for more than two years. All but three of the hips were clinically and roentgenographically normal at follow-up, and none had avascular necrosis. In infants, the Pavlik harness successfully utilizes the principle of reduction in flexion, avoiding forced abduction.

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Cite This Study

Ramsey et al. (1976) studied this question.

synapsesocial.com/papers/69dba36d3d9adb00e7684b75https://doi.org/10.2106/00004623-197658070-00017
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