Pavlik Harness initiation on Barlow positive hips: Can we wait?
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 31065214.
- Also identified by DOI 10.1016/j.jor.2019.03.012 and PMC identifier 6495102.
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Abstract
We investigated if infants with a Barlow positive hip(s) have natural hip stabilization and can thus avoid Pavlik Harness (PH) treatment. We conducted a chart review for infants who presented within two weeks of life, had a Barlow positive hip, and were deferred treatment. Of the thirty infants, eighteen were treated with PH at 4-6 weeks or 12 weeks due to persistent dysplasia. Twelve infants avoided PH entirely. There were zero cases of PH failure. Parents can be counseled that deferring treatment until at least 4-6 weeks of age might avoid treatment altogether without an increased risk of harness failure.
Anatomy
- hip