title: Functional treatment of congenital dislocation of the hip using Pavlik harness (Riemenbügel).
abstract: 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.
mesh_terms: 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