O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING

P. Meda; N. Garg; R. Davies; D. Pilling; C. Bruce

doi:10.1302/0301-620X.86BSUPP_III.0860329

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O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING

P. Meda
N. Garg
R. Davies
D. Pilling
C. Bruce

O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING

Meda P, Garg N, Davies R, Pilling D, Bruce C. O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING. Orthop Procs. 2004;86-B(SUPP_III):329-329. doi:10.1302/0301-620X.86BSUPP_III.0860329

Meda, P., et al. “O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_III, 2004, pp. 329-329., https://doi.org/10.1302/0301-620X.86BSUPP_III.0860329

Meda, P., Garg, N., Davies, R., Pilling, D., & Bruce, C. (2004). O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING. Orthopaedic Proceedings, 86-B(SUPP_III), 329-329. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860329

Meda, P., Garg, N., Davies, R., Pilling, D. and Bruce, C. (2004) “O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING.” Orthopaedic Proceedings, 86-B(SUPP_III), pp. 329-329. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_III.0860329

Meda, P., N. Garg, R. Davies, D. Pilling, and C. Bruce. “O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING.” Orthopaedic Proceedings 86-B, no. SUPP_III (2004): 329-329. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860329

Meda P, Garg N, Davies R, Pilling D, Bruce C. O2573 MANAGEMENT OF DEVELOPMENTAL DYSPLASIA OF HIP WITH THE PAVLIK HARNESS AND ULTRASOUND MONITORING. Orthop Procs. 2004 Mar 1;86-B(SUPP_III):329-329. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860329

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Abstract

Aims: This study shows the efþcacy of The Pavlik harness for the treatment of Development Dysplasia of hip (DDH) using ultrasonographic monitoring. Methods: Between 1995–2000 we treated 149 dysplastic hips in 117 babies. According to the Grafñs classiþcation 90 were dysplastic type IIB, IIC, IID hips; 59 were dislocated Type IIIA, IIIB and IV hips. Babies were regularly monitored using ultrasound unto 26 weeks and radiographs up to 5 years in dislocated hips for bony roof angle. Results: The average full time harness treatment was 12.2 (range 6–20) weeks, average follow up was 55 (range 30–90) months. The harness failed to reduce 14 hips (9.5% of total hips). Two cases continue to show a small femoral ossiþc nuclei at 30 months follow up. The hips showed no signiþcant difference in acetabular index from the normal values at follow up radiographs. Conclusions: We conclude that using this protocol, successful initial treatment of DDH with the Pavlik harness appears to restore normal development of the hip.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.