Use of the Pavlik Harness for Hip Displacements

HARRIS, IRWIN E.; Dickens, Robert; Menelaus, Malcolm B.

doi:10.1097/00003086-199208000-00006

Cited by 76 publications

(58 citation statements)

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“…Viere et al [22] reported that the likelihood of success of Pavlik harness treatment is low for hips that cannot be reduced by the Ortolani manoeuvre in the first clinical examination. Harding et al [3] and Harris et al [4] concluded that it is not possible to predict by clinical examination the hips that are likely to succeed or fail with Pavlik harness treatment. Harris et al [4] reported a 14% failure rate among Ortolani-positive hips and recorded eight initially irreducible hips that subsequently reduced in the harness.…”

Section: Discussionmentioning

confidence: 99%

“…Harding et al [3] and Harris et al [4] concluded that it is not possible to predict by clinical examination the hips that are likely to succeed or fail with Pavlik harness treatment. Harris et al [4] reported a 14% failure rate among Ortolani-positive hips and recorded eight initially irreducible hips that subsequently reduced in the harness. In our study group, clinical examination findings were not associated with treatment success or failure.…”

Section: Discussionmentioning

confidence: 99%

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Indicators of successful use of the Pavlik harness in infants with developmental dysplasia of the hip

Atalar

Şaylı

Yavuz

et al. 2006

International Orthopaedics (SICOT)

109

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Indicators of successful use of the Pavlik harness in infants with developmental dysplasia of the hip

Atalar

Şaylı

Yavuz

et al. 2006

International Orthopaedics (SICOT)

109

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“…1,2 There is also a considerable range in the reported rates of failure to achieve reduction, from 3% to 16%. [3][4][5] The reasons for these wide variations are not…”

Section: Pavlikmentioning

confidence: 99%

Monitoring the Treatment of Developmental Dysplasia of the Hip With the Pavlik Harness

Taylor

Clarke

1997

The Journal of Bone and Joint Surgery. British volume

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We report the six-year results of a prospective, controlled demographic trial of developmental dysplasia of the hip (DDH) treated in the Pavlik harness using ultrasound supervision. Our aim was to assess the value of ultrasound and its role in monitoring reduction in the harness, in terms of progression or failure of reduction at an early state. We conclude that ultrasound monitoring has led to an acceptably low level of intervention, a high reduction rate and minimal iatrogenic complications. The trial is continuing. [Br] 1997;79-B:719-23. Received 10 February 1997; Accepted after revision 28 April 1997 Pavlik 1 developed his 'functional method' for treatment of congenital dislocation of the hip because of the high rates of 'aseptic necrosis' that he had observed from the use of 'passive mechanical methods'. His method is now widely used, but recent reports quote rates of aseptic necrosis of from 0% to 28%. J Bone Joint Surg

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“…AVN is a significant irreversible complication of failed Pavlik harness treatment and high rates are reported in the literature [14,15]. Abandoning the harness early is recommended for hips that do not respond to treatment after a two week trial [16]. Cashman et al [17] demonstrated the success of using a standardised protocol for DDH treatment.…”

Section: Treatmentmentioning

confidence: 99%