Podeszwa David A, Mooney James F, Cramer Kathryn E, Mendelow Michael J
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit, Michigan, USA.
J Pediatr Orthop. 2004 Sep-Oct;24(5):460-2. doi: 10.1097/00004694-200409000-00002.
This retrospective study compares Pavlik harness application versus spica casting for the treatment of children under 1 year of age with a femoral shaft fracture. The clinical and radiographic outcomes of 24 patients treated in a Pavlik harness were compared with 16 patients treated in a spica cast. The average age and weight of the two groups were significantly different, but there were no differences in radiographic outcomes between the Pavlik and spica cast groups. Approximately one third of all spica patients had a skin complication that added an additional risk to the patient. There were no similar complications in the Pavlik group. There were no differences in the outcome of the fractures in the two groups. The authors believe that all children under 1 year of age with a femoral shaft fracture are candidates for treatment with a Pavlik harness.
这项回顾性研究比较了使用帕夫利克吊带与髋人字石膏治疗1岁以下股骨干骨折儿童的效果。对24例接受帕夫利克吊带治疗的患者与16例接受髋人字石膏治疗的患者的临床和影像学结果进行了比较。两组的平均年龄和体重有显著差异,但帕夫利克吊带组和髋人字石膏组的影像学结果并无差异。所有髋人字石膏治疗的患者中约三分之一出现了皮肤并发症,这给患者增加了额外风险。帕夫利克吊带组没有类似并发症。两组骨折的治疗结果没有差异。作者认为,所有1岁以下股骨干骨折的儿童都适合用帕夫利克吊带治疗。