High Failure Rate of the Pavlik Harness in Dislocated Hips: Is It Bilaterality?

被引：23

作者：

Palocaren, Thomas ^{[1
]}

Rogers, Kenneth ^{[1
]}

Haumont, Thierry ^{[1
]}

Grissom, Leslie ^{[2
]}

Thacker, Mihir M. ^{[1
]}

机构：

[1] Alfred I duPont Hosp Children, Dept Orthoped, Nemours Childrens Clin, Wilmington, DE 19899 USA

[2] Alfred I duPont Hosp Children, Dept Radiol, Wilmington, DE 19899 USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 2013年 / 33卷 / 05期

关键词：

Pavlik harness; bilaterally dislocated hips; ultrasound examination; CONGENITAL DISLOCATION; ULTRASOUND PREDICTORS; DYSPLASIA; MANAGEMENT; POSITION;

D O I：

10.1097/BPO.0b013e318287ffc6

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: The purpose of this study was to evaluate the efficacy of Pavlik harness treatment in patients with bilaterally dislocated Graf type IV hips and compare them to cases with unilaterally dislocated hips. Methods: Twenty-one patients (42 hips) who presented with bilaterally dislocated hips with no prior treatment were studied. The comparison group consisted of 33 patients (33 hips) with unilateral hip dislocation treated with the same protocol. Successful treatment was defined as relocation of the hips within 3 weeks of Pavlik harness application. Results: Twelve of 21 patients (57%) in the bilateral group (6 failed bilaterally, 6 unilaterally) and 18/33 patients (54.5%) in the unilateral group failed harness treatment. Conclusions: The use of the Pavlik harness in dislocated hips is associated with a high failure rate. Patients presenting with bilaterally dislocated hips however, are at no greater risk for failure than patients presenting with unilateral hip dislocation.

引用

页码：530 / 535

页数：6

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