Radiographic prediction of the results of long-term treatment with the Pavlik harness for developmental dislocation of the hip

Description: In 1957, Pavlik introduced the Pavlik harness as a useful treatment for developmental dislocation of the hip (DDH), and subsequent studies have documented favorable outcomes among patients treated with this device. However, there are only a few articles reporting how early radiographic measurements can be used to determine the prognosis after treatment with the Pavlik harness. In this study, 217 hips from 192 patients whose DDH treatment with the Pavlik harness was initiated before they were 6 months old and whose follow-up lasted at least 14 years (rate, 63.8%) were analyzed using measurements from radiographs taken immediately before and after harness treatment, and at 1, 2, and 3 years of age.
Radiographic prediction of the results of long-term treatment with the Pavlik harness for developmental dislocation of the hip. Ohmori T, Endo H, Mitani S, Minagawa H, Tetsunaga T, Ozaki T. Acta Med Okayama. 2009 Jun;63(3):123-8.