Elbaz C M, Kooijman M A
St. Maartenskliniek, Nijmegen.
Tijdschr Kindergeneeskd. 1988 Dec;56(6):236-40.
In 68 patients with 101 congenital dysplasias of the hip results of treatment by Pavlik harness were retrospectively analysed. Of the 101 there were 61 dislocations. After six weeks of treatment with the Pavlik harness reduction was achieved in 48 of the 61 dislocated hips (80%). However, because of persisting dysplasia 50% of all cases had to be treated with an abduction device for a few months. There were no complications, in particular osteonecrosis of the femoral head was not observed. Provided well controlled, the Pavlik harness is a good, safe and easy method for treating congenital dislocation of the hip.
对68例患有101处先天性髋关节发育不良的患者采用帕夫利克吊带治疗的结果进行了回顾性分析。在这101处发育不良中,有61处为脱位。经帕夫利克吊带治疗六周后,61例脱位髋关节中有48例(80%)实现了复位。然而,由于发育不良持续存在,所有病例中有50%必须使用外展装置治疗数月。未出现并发症,尤其未观察到股骨头坏死。如果控制得当,帕夫利克吊带是治疗先天性髋关节脱位的一种良好、安全且简便的方法。