Functional treatment of congenital dislocation of the hip using Pavlik harness (Riemenbügel).
The results of functional treatment using the Pavlik harness in congenital dislocation of the hip were examined. The study was conducted on 219 hips in 168 patients over periods of 5 to 13 years after the treatment. The age at the start of the initial treatment ranged between 3 and 12 months, making extensive movement of the lower extremities possible. The spontaneous reduction rates due to the Pavlik harness were 68.0% in dislocation and 97.9% in subluxation. Of those which could not be reduced with the Pavlik harness, 26 joints underwent manual reductions and the remaining 6 joints underwent surgical reductions. The results were evaluated by Severin's criteria. Severin I was observed in 76.0% of dislocations and in 95.5% of subluxations. In the group of successful reduction using the Pavlik harness alone, aseptic necrosis of the femoral head was observed in 11 joints (6.2%), and lateralization was observed in 21 joints (11.9%), but these changes were mild.
D000367:Age Factors; D001915:Braces / Q000009:adverse effects; D005069:Evaluation Studies as Topic; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000628:therapy*; D006801:Humans; D007223:Infant