Treatment of developmental dysplasia of the hip with the Pavlik harness in children under six months of age: indications, results and failures

Journal of Children's Orthopaedics
Hakan Omeroğlu

Abstract

The aim of this article is to review the current concepts in the indications, results and failure causes of the treatment of developmental dysplasia of the hip (DDH) with the Pavlik harness. The reported variables influencing the outcome in the Pavlik harness treatment were analyzed. Significant discrepancies about the clinical and radiological outcomes, the rates of failure and complications as well as the variables influencing the treatment outcome occur in the published studies due to the heterogeneity of the data and the differences in the methods used. The overall short-, mid- or long-term success rate of the treatment ranges from 45% to 100% and it is commonly over 75%. The rate of osteonecrosis of the femoral head ranges from 1% to 30%. Age, gender, laterality, radiological or clinical severity of the initial hip pathology and parents' compliance are the commonly reported determinants of failure of the treatment. The failure in treatment with the Pavlik harness is multifactorial, initial type of hip dysplasia being the most prominent followed by the treatment initiation age. This type of treatment cannot be considered as the best option in Graf IV hips (hip ultrasonography) or highly dislocated hips (plain radiography) a...Continue Reading

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Citations

Aug 30, 2018·Journal of Children's Orthopaedics·T Terjesen
Apr 3, 2019·Archives of Orthopaedic and Trauma Surgery·Michal Zídka, Valér Džupa
Apr 1, 2020·JBJS Case Connector·Andrew M Rizzi, Robert J Bielski
Mar 4, 2021·Journal of Pediatric Orthopedics·Wesley W E S TheunissenJaap J Tolk
Aug 9, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takuya OgawaDaisuke Takahashi

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