Skip Navigation LinksHome > July/August 2013 - Volume 33 - Issue 5 > High Failure Rate of the Pavlik Harness in Dislocated Hips:...
Journal of Pediatric Orthopaedics:
doi: 10.1097/BPO.0b013e318287ffc6
Hip/Femur

High Failure Rate of the Pavlik Harness in Dislocated Hips: Is It Bilaterality?.

Palocaren, Thomas MBBS, MS(Orth)*; Rogers, Kenneth PhD, ATC*; Haumont, Thierry MD*; Grissom, Leslie MD; Thacker, Mihir M. MD*

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Abstract

Background:

The purpose of this study was to evaluate the efficacy of Pavlik harness treatment in patients with bilaterally dislocated Graf type IV hips and compare them to cases with unilaterally dislocated hips.

Methods:

Twenty-one patients (42 hips) who presented with bilaterally dislocated hips with no prior treatment were studied. The comparison group consisted of 33 patients (33 hips) with unilateral hip dislocation treated with the same protocol. Successful treatment was defined as relocation of the hips within 3 weeks of Pavlik harness application.

Results:

Twelve of 21 patients (57%) in the bilateral group (6 failed bilaterally, 6 unilaterally) and 18/33 patients (54.5%) in the unilateral group failed harness treatment.

Conclusions:

The use of the Pavlik harness in dislocated hips is associated with a high failure rate. Patients presenting with bilaterally dislocated hips however, are at no greater risk for failure than patients presenting with unilateral hip dislocation.

Level of Evidence:

Level III.

Copyright © 2013 by Lippincott Williams & Wilkins

The Pediatric Orthopaedic Society of North America (POSNA)
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