Literature DB >> 24322535

Staged weaning versus immediate cessation of Pavlik harness treatment for developmental dysplasia of the hip.

Daniel J Westacott1, Nicola D Mackay, Andrew Waton, Mark S L Webb, Philip Henman, Stephen J Cooke.   

Abstract

Outcomes of nonoperative treatment for developmental dysplasia of the hip were compared between two centres. Eighty children in Centre A underwent staged weaning of the Pavlik harness once three consecutive weekly ultrasounds showed Graf Grade I hips, whereas in 48 children in Centre B, the harness was removed immediately. No statistically significant difference was found in the rate of reintervention (repeat harness treatment, closed or open reduction), avascular necrosis or acetabular index between the two methods, although there was a nonsignificant trend towards higher reintervention rate and lower avascular necrosis rate with immediate harness removal. Age at start of treatment significantly impacted upon initial harness success, reinterventions and avascular necrosis.

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Mesh：

Year:  2014        PMID： 24322535     DOI： 10.1097/BPB.0000000000000025

Source DB:  PubMed          Journal:  J Pediatr Orthop B        ISSN： 1060-152X            Impact factor:   1.041


  9 in total

1.  Success of Pavlik Harness Treatment Decreases in Patients ≥ 4 Months and in Ultrasonographically Dislocated Hips in Developmental Dysplasia of the Hip.

Authors:  Hakan Ömeroğlu; Nusret Köse; Anil Akceylan
Journal:  Clin Orthop Relat Res       Date:  2016-05       Impact factor: 4.176

2.  Exploring infant hip position and muscle activity in common baby gear and orthopedic devices.

Authors:  Safeer F Siddicky; Junsig Wang; Brien Rabenhorst; Lauren Buchele; Erin M Mannen
Journal:  J Orthop Res       Date:  2020-07-31       Impact factor: 3.494

Review 3.  Splinting for the non-operative management of developmental dysplasia of the hip (DDH) in children under six months of age.

Authors:  Kerry Dwan; Jamie Kirkham; Robin W Paton; Emma Morley; Ashley William Newton; Daniel C Perry
Journal:  Cochrane Database Syst Rev       Date:  2022-10-10

Review 4.  Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline - Part 1.

Authors:  Christiaan J A van Bergen; Pieter Bas de Witte; Floor Willeboordse; Babette L de Geest; Magritha Margret M H P Foreman-van Drongelen; Bart J Burger; Yvon M den Hartog; Joost H van Linge; Renske M Pereboom; Simon G F Robben; M Adhiambo Witlox; Melinda M E H Witbreuk
Journal:  EFORT Open Rev       Date:  2022-07-05

Review 5.  Late acetabular dysplasia after successful treatment for developmental dysplasia of the hip using the Pavlik method: A systematic literature review.

Authors:  K Aaron Shaw; Colleen M Moreland; Dana Olszewski; Tim Schrader
Journal:  J Orthop       Date:  2018-12-04

6.  Hip dysplasia screening - epidemiological data from Valcea County.

Authors:  R C Colta; C Stoicanescu; M Nicolae; S Oros; G Burnei
Journal:  J Med Life       Date:  2016 Jan-Mar

7.  Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery.

Authors:  Mariana Callil Voos; Soares de Moura Maria Clara Drummond; Renata Hydee Hasue
Journal:  Case Rep Med       Date:  2018-10-29

8.  Treatment of developmental dysplasia of the hip with the Pavlik harness in children under six months of age: indications, results and failures.

Authors:  H Ömeroglu
Journal:  J Child Orthop       Date:  2018-08-01       Impact factor: 1.548

Review 9.  The treatment of neonatal hip dysplasia with splints in the United Kingdom: time for consensus?

Authors:  Daniel J Westacott; Daniel C Perry
Journal:  J Child Orthop       Date:  2020-04-01       Impact factor: 1.548
  9 in total

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