Pavlik Harness in Treatment of Developmental Dysplasia of the Hip Joint a Prospective Short Term Follow up Clinical Study

Abstract

Article Info The Pavlik harness is the first non-invasive line of treatment of newborn with developmental dysplasia of the hip that keeping the epiphysis within the acetabulum, allowing some movement and a good perfusion, to avoid the avascular necrosis of head of femur. The aim of this study is to assess the success of treatment with Pavlik harness in infants with developmental dysplasia of the hip. Therefore, 50 patients younger than six months of age with bilateral or unilateral developmental dysplasia of the hip (DDH) that treated by Pavlikharness at Al-Wasty Teaching Hospital and followed up for 3 weeks were enrolled. Theresponse to treatment was monitored weekly by ultrasound examination. Among the studied group, 42(86%), showed good response to treatment during the period of follow up. High rate of success reported with unilateral developmental dysplasia of the hip and in patient who started treatment within first week of life. Side of pathology, gender had no effect on successfulness of treatment. Avascular necrosis not reported with our cases. Hence, in conclusion Pavlik harness appeared to be a safe and successful method for treatment of developmental dysplasia of the hip Accepted: 30 May 2018 Available Online: 20 June 2018