Late Acetabular Dysplasia Following Early Successful Pavlik Harness Treatment of Congenital Dislocation of the Hip

Tucci, James J.; Kumar, Shikhar; Guille, James T.; Rubbo, E. R.

doi:10.1097/01241398-199107000-00016

Cited by 75 publications

(55 citation statements)

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“…There is little published evidence of such a long-term review of a treated population. 7,8 In our series to date, the incidence of mild acetabular dysplasia is 4.3%. It has not been possible to relate these to factors in the history, treatment or ultrasound appearance which would have been predictive at an early stage.…”

Section: Discussionmentioning

confidence: 65%

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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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Section: Discussionmentioning

confidence: 65%

“…6 In the longer term, it is still uncertain how long review should be continued to assess late acetabular dysplasia. 7,8 For these patients, the long-term prospective results of a 'defined population' are still required to identify early predictive features.…”

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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“…28 Yoshitaka and colleagues 29 found similar results with 26.3% of 262 hips rated as Severin class III or IV at a mean follow-up of 19 years. Tucci and colleagues 30 found that 17% of 74 hips initially treated by Pavlik harness for acetabular dysplasia had what were described as mild abnormalities of the acetabular roof at an average of 10 years' follow-up. According to the Severin classification, 1 hip was class II and 1 hip was class III.…”

Section: Pavlik Harnessmentioning

confidence: 99%

Evidence-based Management of Developmental Dysplasia of the Hip

Cooper

Doddabasappa

Mulpuri

2014

Orthopedic Clinics of North America

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“…The hip should not be placed in a position of hyper flexion and hyper abduction as it may result in high pressure on the femoral head leading to osteo necrosis. In addition, there is evidence of an increased risk of femoral nerve palsy [41][42][43][44] or inferior dislocation of the femoral head due to hyper flexion [45] . On the other hand; inadequate flexion will fail to reduce the hip.…”

Section: Treatment Of a Neonate With Developmental Dysplasia Of The Hipmentioning

confidence: 99%

Developmental dysplasia of hip – An overview

Rk¹,

Patel²

2017

Int. J. Orthop. Sci.

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Developmental dysplasia of the hip refers to a spectrum of severity ranging from mild acetabular dysplasia with a stable hip, to more severe forms of dysplasia with hip instability, to established hip dysplasia with or without subluxation or dislocation. DDH affects 1-3% of newborns and is responsible for 29% of primary hip replacements in people up to the age of 60 years. Ligamentous laxity is also believed to be associated with hip dysplasia, though this association is less clear. The treatment of DDH is age-related and the goal is to achieve and maintain concentric reduction of the femoral head into the acetabulum. A dislocated hip which can be reduced and a reduced hip that can be subluxated should be treated with the orthosis. All such hips should be treated in orthosis or harness beginning at the time of diagnosis. This results from excessive pressure on the femoral head after reduction in extreme abduction and internal rotation leading to vascular occlusion. Avascular necrosis results from excessive pressure on the femoral head after reduction in extreme abduction and internal rotation leading to vascular occlusion. Developmental dysplasia of the hip is a challenging condition. Formal training in the treatment of various age groups with DDH is mandatory. Successful treatment with Orthoses requires careful counselling of parents. Surgical management requires careful pre-operative planning and adequate follow up to ensure the best clinical outcomes.

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Late Acetabular Dysplasia Following Early Successful Pavlik Harness Treatment of Congenital Dislocation of the Hip

Cited by 75 publications

References 0 publications

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

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

Evidence-based Management of Developmental Dysplasia of the Hip

Developmental dysplasia of hip – An overview

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