Literature DB >> 31065214

Pavlik Harness initiation on Barlow positive hips: Can we wait?

Katherine A Cook1, Meghan Schmitt1, Michael Ingram1, Jill E Larson1, Jamie Burgess1, Joseph A Janicki1.   

Abstract

We investigated if infants with a Barlow positive hip(s) have natural hip stabilization and can thus avoid Pavlik Harness (PH) treatment. We conducted a chart review for infants who presented within two weeks of life, had a Barlow positive hip, and were deferred treatment. Of the thirty infants, eighteen were treated with PH at 4-6 weeks or 12 weeks due to persistent dysplasia. Twelve infants avoided PH entirely. There were zero cases of PH failure. Parents can be counseled that deferring treatment until at least 4-6 weeks of age might avoid treatment altogether without an increased risk of harness failure.

Entities:  

Keywords:  Barlow positive; Developmental dysplasia of the hip; Hip dysplasia; Pavlik harness

Year:  2019        PMID： 31065214      PMCID： PMC6495102          DOI： 10.1016/j.jor.2019.03.012

Source DB:  PubMed          Journal:  J Orthop        ISSN： 0972-978X


  15 in total

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Journal:  Pediatr Clin North Am       Date:  2001-02       Impact factor: 3.278

2.  The incidence of avascular necrosis of the healthy, contralateral femoral head at the end of the use of Pavlik harness in unilateral hip dysplasia.

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Journal:  J Bone Joint Surg Br       Date:  2002-04

4.  Early failure of Pavlik harness treatment for developmental hip dysplasia: clinical and ultrasound predictors.

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Journal:  J Pediatr Orthop       Date:  2001 May-Jun       Impact factor: 2.324

5.  Femoral nerve palsy in Pavlik harness treatment for developmental dysplasia of the hip.

Authors:  M Lucas Murnaghan; Richard H Browne; Daniel J Sucato; John Birch
Journal:  J Bone Joint Surg Am       Date:  2011-03-02       Impact factor: 5.284

6.  Timing of Pavlik Harness Initiation: Can We Wait?

Authors:  Jill E Larson; Anay R Patel; Brian Weatherford; Joseph A Janicki
Journal:  J Pediatr Orthop       Date:  2019-08       Impact factor: 2.324

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Authors:  K A McHale; D Corbett
Journal:  J Pediatr Orthop       Date:  1989 Nov-Dec       Impact factor: 2.324

8.  Neonatal incidence of hip dysplasia: ten years of experience.

Authors:  Eli Peled; Mark Eidelman; Alexander Katzman; Viktor Bialik
Journal:  Clin Orthop Relat Res       Date:  2008-02-21       Impact factor: 4.176

9.  Sensitivity of manual palpation in testing the neonatal hip.

Authors:  W G Kernohan; G E Nugent; P E Haugh; B P Trainor; R A Mollan
Journal:  Clin Orthop Relat Res       Date:  1993-09       Impact factor: 4.176

10.  The Pavlik harness in the treatment of developmentally dislocated hips: results of Japanese multicenter studies in 1994 and 2008.

Authors:  Ikuo Wada; Eisuke Sakuma; Takanobu Otsuka; Kenjiro Wakabayashi; Kinya Ito; Osamu Horiuchi; Yoshimi Asagai; Makoto Kamegaya; Eiji Goto; Shinichi Satsuma; Daisuke Kobayashi; Susumu Saito; Mayuki Taketa; Kazuharu Takikawa; Yasuharu Nakashima; Tadashi Hattori; Shigeru Mitani; Akifusa Wada
Journal:  J Orthop Sci       Date:  2013-06-29       Impact factor: 1.601
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  3 in total

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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

2.  Impact of Failed Pavlik Harness Treatment on the Outcomes Following Closed or Open Reduction in Developmental Dysplasia of the Hip.

Authors:  Yong Liu; Lisheng Kan; Jun Sun; Yapeng Zhang
Journal:  Indian J Orthop       Date:  2022-06-25       Impact factor: 1.033

Review 3.  Examining the Short-Term Natural History of Developmental Dysplasia of the Hip in Infancy: A Systematic Review.

Authors:  Bryn O Zomar; Kishore Mulpuri; Emily K Schaeffer
Journal:  Indian J Orthop       Date:  2021-09-13       Impact factor: 1.251
  3 in total

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