Connault P, Pries P, Gayet L E, Brax P, Soyer J, Clarac J P
Service d'orthopédie-traumatologie adulte et infantile, Hôpital Jean Bernard, C.H.R.U. de la Milétrie, Poitiers.
J Chir (Paris). 1991 Oct;128(10):428-34.
The authors wanted to establish a protocol of use of Pavlik's harness and check ots efficiency with as few complications as possible for the ambulatory treatment of congenital dislocation and dysplasia of the hip. To achieve this, they studied 41 hips in 37 children. They noted 2 failures of reduction, 2 failures of stabilization, 2 cases of osteochondritis and 1 transitory crural paresis. It should be noted that reduction failed and osteochondritis and crural paresis occurred in one and the same child. The other children, ie. 36 hips, had a quite favorable evolution without any stay in hospital, and reduction and stabilization were permanent. This confirms the merits of Pavlik's harness and the low rate of iatrogenic complications. The authors propose a starting, observation and termination procedure for the treatment. However, it still is difficult to define how long stabilization will take and to specify the indication for the treatment of a possible residual dysplasia.
作者希望制定帕夫利克吊带的使用方案，并检查其在先天性髋关节脱位和发育不良门诊治疗中的有效性，同时尽量减少并发症。为此，他们对37名儿童的41个髋关节进行了研究。他们记录到2例复位失败、2例固定失败、2例骨软骨炎和1例暂时性小腿轻瘫。需要注意的是，复位失败以及骨软骨炎和小腿轻瘫发生在同一个儿童身上。其他儿童，即36个髋关节，病情进展相当顺利，无需住院，复位和固定均持续有效。这证实了帕夫利克吊带的优点以及医源性并发症的低发生率。作者提出了治疗的起始、观察和终止程序。然而，仍然难以确定固定需要多长时间，以及明确可能残留发育不良的治疗指征。
