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Ineffective hip rotation with Pavlik harness. Prospective study of 35 infant dislocations.
Hunter, V; Hoffer, M M; Thomas, L; Rosenfeld, S; Weinert, C.
Afiliación
  • Hunter V; Department of Radiology, University of California, Irvine, Orange 92668.
Acta Orthop Scand ; 65(3): 243-5, 1994 Jun.
Article en En | MEDLINE | ID: mdl-8042472
35 hips in 31 infants diagnosed as unstable were treated with a Pavlik harness and followed by weekly clinical and monthly ultrasound evaluation to determine eventual stability. 26 hips became stable within 3 months, and 9 dislocations required reduction with hip spica placement; 1 of these subsequently required open reduction. Of the 7 infants with 9 hips that failed, 2 children had a late onset of treatment, 2 children had problems with brace fit or family acceptance, and 3 other children had no problem with use of the orthosis. Internal rotation of a degree not possible with the Pavlik harness was required to reduce 4 of these 9 hips. The Pavlik harness is ineffective in some patients because of the need for internal rotation.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aparatos Ortopédicos / Luxación Congénita de la Cadera Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Acta Orthop Scand Año: 1994 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aparatos Ortopédicos / Luxación Congénita de la Cadera Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Acta Orthop Scand Año: 1994 Tipo del documento: Article Pais de publicación: Reino Unido