Pavlik harness versus Frejka splint in treatment of developmental dysplasia of the hip: bicenter study.
A bicenter study was conducted to compare the results of treatment in developmental dysplasia of the hip (DDH) with Frejka splint versus Pavlik harness. Eighty-four dislocated hips were treated by the Frejka splint, and 48 dislocated hips were treated by the Pavlik harness. Failure of reduction was 10% with the Frejka splint and 12% with the Pavlik harness. Avascular necrosis (AVN, mostly type 1) was detected in 7% of Frejka patients versus 6% in Pavlik patients. The Frejka splint is simpler to use and if properly applied may be as safe as the Pavlik harness for DDH treatment.
Atar
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D
Pediatric Orthopedic Surgery, Ben-Gurion University Hospital, Beer-Sheva, Israel.
Lehman
W B
WB
Tenenbaum
Y
Y
Grant
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AD
D005260:Female; D006618:Hip Dislocation, Congenital / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009989:Orthotic Devices; D013165:Splints