Atalar H, Sayli U, Yavuz O Y, Uraş I, Dogruel H
Department of Orthopaedic Surgery, Fatih University, Ankara, Turkey.
Int Orthop. 2007 Apr;31(2):145-50. doi: 10.1007/s00264-006-0097-8. Epub 2006 Apr 7.
This study examined the outcomes of ultrasound-monitored Pavlik harness treatment in 25 infants (2 boys and 23 girls) representing a total of 31 cases of developmental dysplasia of the hip of Graf type IIc or more severe. For all infants, Pavlik harness treatment started after ultrasonographic diagnosis in our clinic. If there was no improvement by the third week of follow-up, the harness treatment was discontinued. Of the 25 patients (31 hips), 16 patients (18 hips) were successfully treated with the Pavlik harness. The effects of age at start of treatment, gender, side of pathology, first clinical evaluation findings, bilaterality, and Graf type on Pavlik harness treatment success were analysed. We found that the outcome of treatment with the Pavlik harness was related to Graf type, age at start of treatment, and bilaterality.
本研究对25例婴儿（2例男孩和23例女孩）进行了超声监测下的 Pavlik 吊带治疗，共31例 Graf IIc 型或更严重的发育性髋关节发育不良病例。对于所有婴儿，Pavlik 吊带治疗在我院超声诊断后开始。如果在随访的第三周没有改善，则停止吊带治疗。在25例患者（31个髋关节）中，16例患者（18个髋关节）通过 Pavlik 吊带成功治疗。分析了开始治疗时的年龄、性别、病变侧、首次临床评估结果、双侧性和 Graf 类型对 Pavlik 吊带治疗成功的影响。我们发现，Pavlik 吊带治疗的结果与 Graf 类型、开始治疗时的年龄和双侧性有关。
