Comparison of Pavlik Harness treatment regimens for reduced but dislocatable (Barlow positive) hips in infantile DDH.

ABSTRACT:

Objective

Although the Pavlik Harness (PH) is the most utilized treatment for developmental dysplasia of the hip (DDH), the ideal treatment protocol (frequency of clinic visits in the first month and daily wear duration) for Barlow ​+ ​hips (reduced but dislocatable) has yet to be defined.

Methods

This study compared DDH patients with Barlow hips who were treated with 23 vs 24 h per day PH wear and weekly vs every other week visits. Clinical success was defined as a stable hip that did not require closed or open reduction, or the use of an abduction orthosis prior to achieving clinical stability. Radiographic success was based on the acetabular index at 2-year follow up.

Results

Sixty-five patients (75 hips/58 females) with Barlow hips had a mean age of presentation o

SUBMITTER: Neal D 

PROVIDER: S-EPMC6731324 | biostudies-literature | 2019 Sep-Oct

REPOSITORIES: biostudies-literature