Ruíz R, Murguía AR

Language: Spanish
References: 7
Page: 5-8
PDF size: 403.88 Kb.

ABSTRACT

Forty-eight patients with Developmental Dysplasia of the Hip (DDH), were examined and treated placing the Pavlik harness for the reduction, The patients´age averages 3 months 2 days.
A chronologic evaluation was carried out to determine the average time on which the concentric reduction took place, the time that took to wean the baby, and also the time took to remove the Pavlik harness.
Treatment was successful except for 6 cases. Arthrographies were performed in all 6 cases and 4 were subjected to close reduction and 2 to open reduction. Two cases presented Kalamchi Grade I avascular necrosis.

REFERENCES

1. 1.- Atar D., Lehman WB, Tenenbaum Y., Grand A. Pavlik Harness Versus Freyjka Splint in Treatment of developmental Dysplasia of the Hip: Bicenter Study. J. Pediat. Orthop. 1993;13; 311-313.

2. 2.- Geauber A: Treatment of the Dysplastic hip with Pavlik´s bandage. J. Bone Joint Surg (B) 1971;53: 152.

3. 3.- Kalamchi. A, Mac Farlane R. The Pavlik harness: Results in patients over there months of age. J. Pediat Orthop. 1981. (7): 3-8.

4. 4.- Kalamchi A, Mac Ewen G. D: Avascular necrosis Following. Treatment of congenital dislocation of the hip. J. Bone Joint Surg. 1980 (A), 62; 876.

5. 5.- Pavlik A. Die Funktionelle Behandlungs methode mittels Riemeabügel als prinzipder konservativea therapie bei angeboreaen Hüftgeleaks verrenkungen der Sauglinge. Z. Orthop. 1957: 89:341-52

6. 6.- Ramsey PI, Lasser S, Mac Ewen GD. Congenital Dislocation of the hip. Use of the Pavlik Harness in the child during the first six months of life. J. Bone Joint Surg (A) 1976;7: 1000-1004.

7. 7.- Tönnis D. In "on the History of the Treatment of congenital hip dislocation". Congenital Dysplasia and dislocation of the hip in children and adults. Springer Verlag. 291-293.