Assessment of Pavlik Harness Effectiveness in 3-6 Months Old Patients With Unstable Hips

Pehlivanoğlu, Tuna; Bayram, Serkan; Demіrel, Mehmet; Özdemir, Mustafa; Sağlam, Yavuz; Akgül, Turgut; Bilgili, Fuat

doi:10.26650/iuitfd.2021.879703

Cited by 1 publication

(2 citation statements)

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“…Screening for DDH is widely variable and has a diverse group of guidelines across different countries. 3 , 10 – 12 Ultrasonography using Graf’s method is one of the most commonly used screening tools, 13 yet, there is no consensus regarding its use as a screening tool. 14 Universal screening for all infants is performed in some countries, such as Germany, Switzerland, Austria, and Italy.…”

Section: Introductionmentioning

confidence: 99%

“…The success of PH treatment for unstable and dislocated hips has been the subject of a few articles, 10 , 29 but little is known about its effectiveness in treating asymptomatic dysplasia, particularly when the AI is used as a monitoring tool. In this article, the aim was to investigate PH effectiveness in treating asymptomatic acetabular dysplasia diagnosed by plain radiograph in infants below 6 months, to pinpoint the most important factors contributing to treatment success and to optimize treatment approaches.…”

Section: Introductionmentioning

confidence: 99%

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Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study

Yasin,

Al Karmi,

Suleiman

et al. 2023

Journal of Children's Orthopaedics

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Purpose: Some articles have focused on the effectiveness of the Pavlik harness treatment for unstable and dislocated hips, yet data on monitoring its effectiveness with the acetabular index remains elusive. Therefore, this study aimed to assess Pavlik harness effectiveness in infants ≤6 months diagnosed with grade I developmental dysplasia of the hip using acetabular index improvement and identify the possible predictors of successful Pavlik harness treatment. Methods: A retrospective review of infants with grade I acetabular dysplasia treated with a Pavlik harness and monitored with anteroposterior pelvis X-rays at presentation and follow-up. Successful treatment was defined as achieving an acetabular index <30°. Results: A total of 231 infants with acetabular dysplasia were treated with a Pavlik harness. A successful outcome was achieved in 135 infants (58.4%). Younger age, lower initial acetabular index, and patients with unilateral developmental dysplasia of the hip were significant predictors of a successful outcome. An age of 4.5 months or older was found to be the threshold for an unsuccessful result following Pavlik harness treatment, with a sensitivity of 65.2% and specificity of 57.3%. An initial acetabular index of 35.5° was found to be the threshold for an unsuccessful result, with a sensitivity of 83.7% and specificity of 61.5%. Conclusion: Pavlik Harness’s success in correcting the acetabular index in acetabular dysplasia patients was related to unilateral cases, a younger age at presentation, and a lower initial acetabular index. The thresholds for unsuccessful treatment were an age of 4.5 months or greater and an acetabular index of 35.5° or higher.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study

Yasin,

Al Karmi,

Suleiman

et al. 2023

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

Assessment of Pavlik Harness Effectiveness in 3-6 Months Old Patients With Unstable Hips

Abstract: Assessment of the effectiveness of pavlik harness in management of unstable hip patients between the age of three and six months. J Ist Faculty Med.

Cited by 1 publication

References 21 publications

Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study

Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study

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