Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position
<i>Background and Objectives</i><i>:</i> This study shows a sufficient treatment with the Pavlik harness for all patients through all phases of developmental dysplasia of the hip (DDH) if there is a strict regime. <i>Materials and Methods</i>: There was an ultraso...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-01-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/2/206 |
| _version_ | 1797478266370523136 |
|---|---|
| author | Manuel Gahleitner Rainer Hochgatterer Gerhard Großbötzl Lorenz Pisecky Matthias Klotz Tobias Gotterbarm Günter Hipmair |
| author_facet | Manuel Gahleitner Rainer Hochgatterer Gerhard Großbötzl Lorenz Pisecky Matthias Klotz Tobias Gotterbarm Günter Hipmair |
| author_sort | Manuel Gahleitner |
| collection | DOAJ |
| description | <i>Background and Objectives</i><i>:</i> This study shows a sufficient treatment with the Pavlik harness for all patients through all phases of developmental dysplasia of the hip (DDH) if there is a strict regime. <i>Materials and Methods</i>: There was an ultrasound measurement stage of IIc or worse (D, IIIa/b, IVa/b) in 159 out of 7372 newborns between 1995 and 2006 (2.15%). This is an indication for treatment with the Pavlik harness. Overall, 203 dysplastic hips were treated initially with our regime. After detection, we started the application of the Pavlik harness immediately in the ‘human position’. There were appointments every 10–14 days to check the setting combined with ultrasound controls. The treatment stopped if a mature, well-developed picture of both hips was seen when compared to Graf type Ia/b. Afterwards, an X-ray control was carried out at about one year of age. <i>Results</i>: 159 newborns with 203 dislocated hips were treated. The distribution following Graf’s classification was as follows: 150 type IIc (73.9%), 18 type D (8.9%), 31 type IIIa/b (15, 3%) and 4 type IV (1.9%). To summarize, there were 150 (73.9%) type IIc hips at risk of developing a dislocation but also 53 hips (26.1%) which were already dislocated at the moment of birth. There was a loss to follow-up in three patients (1.8%), and the therapy had to be changed in six cases. There was no degradation in our study population during therapy. <i>Conclusion:</i> The treatment with the Pavlik harness of DDH at every stage in newborns was possible and showed good results in 189 hips. |
| first_indexed | 2024-03-09T21:29:30Z |
| format | Article |
| id | doaj.art-6565afda79cd4297893aaef30089a7b0 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T21:29:30Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-6565afda79cd4297893aaef30089a7b02023-11-23T20:59:40ZengMDPI AGMedicina1010-660X1648-91442022-01-0158220610.3390/medicina58020206Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human PositionManuel Gahleitner0Rainer Hochgatterer1Gerhard Großbötzl2Lorenz Pisecky3Matthias Klotz4Tobias Gotterbarm5Günter Hipmair6Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, AustriaDepartment for Orthopedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, 4040 Linz, Austria<i>Background and Objectives</i><i>:</i> This study shows a sufficient treatment with the Pavlik harness for all patients through all phases of developmental dysplasia of the hip (DDH) if there is a strict regime. <i>Materials and Methods</i>: There was an ultrasound measurement stage of IIc or worse (D, IIIa/b, IVa/b) in 159 out of 7372 newborns between 1995 and 2006 (2.15%). This is an indication for treatment with the Pavlik harness. Overall, 203 dysplastic hips were treated initially with our regime. After detection, we started the application of the Pavlik harness immediately in the ‘human position’. There were appointments every 10–14 days to check the setting combined with ultrasound controls. The treatment stopped if a mature, well-developed picture of both hips was seen when compared to Graf type Ia/b. Afterwards, an X-ray control was carried out at about one year of age. <i>Results</i>: 159 newborns with 203 dislocated hips were treated. The distribution following Graf’s classification was as follows: 150 type IIc (73.9%), 18 type D (8.9%), 31 type IIIa/b (15, 3%) and 4 type IV (1.9%). To summarize, there were 150 (73.9%) type IIc hips at risk of developing a dislocation but also 53 hips (26.1%) which were already dislocated at the moment of birth. There was a loss to follow-up in three patients (1.8%), and the therapy had to be changed in six cases. There was no degradation in our study population during therapy. <i>Conclusion:</i> The treatment with the Pavlik harness of DDH at every stage in newborns was possible and showed good results in 189 hips.https://www.mdpi.com/1648-9144/58/2/206DDHPavlik harnesscongenital dysplasia/luxation/human position |
| spellingShingle | Manuel Gahleitner Rainer Hochgatterer Gerhard Großbötzl Lorenz Pisecky Matthias Klotz Tobias Gotterbarm Günter Hipmair Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position Medicina DDH Pavlik harness congenital dysplasia/luxation/human position |
| title | Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position |
| title_full | Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position |
| title_fullStr | Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position |
| title_full_unstemmed | Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position |
| title_short | Short Term Results of Early Treatment of Developmental Dysplasia of the Hip or Luxation with Pavlik Harness in Human Position |
| title_sort | short term results of early treatment of developmental dysplasia of the hip or luxation with pavlik harness in human position |
| topic | DDH Pavlik harness congenital dysplasia/luxation/human position |
| url | https://www.mdpi.com/1648-9144/58/2/206 |
| work_keys_str_mv | AT manuelgahleitner shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT rainerhochgatterer shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT gerhardgroßbotzl shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT lorenzpisecky shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT matthiasklotz shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT tobiasgotterbarm shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition AT gunterhipmair shorttermresultsofearlytreatmentofdevelopmentaldysplasiaofthehiporluxationwithpavlikharnessinhumanposition |