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Nihon Seikeigeka Gakkai Zasshi. 1985 Nov;59(11):973-84.

Functional treatment of congenital dislocation of the hip using Pavlik harness (Riemenb├╝gel).


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.

[Indexed for MEDLINE]

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