Saint-Supery G, Wallon P, Bucco P, Rivet D
Chir Pediatr. 1986;27(6):329-34.
The authors report 128 cases of reduction of congenital dislocation of the hip by the Pavlik harness with more than one year of follow-up. They studied 60 patients who had less than 3 months of age at the beginning of the treatment. They obtain 59 reductions (98%) without necrosis of femoral heads. The only case of unsuccess, treated after by continuous extension, has doubtful femoral heads at 15 months of age. The femoral heads appear in normal delay and walk was normal between 10 and 18 months. Only a strict watchfulness, as strict as a continuous extension, can obtain good results with progressive flexion. Bath is not authorized and harness is not removed before stable reduction. Parents are taught how to hold their infant without bringing his knees together. The most important thing is the X-ray control on D8, D21, and D60, the prevent the trap of too much flexion, too nice penetration or persistent eccentration. Under these conditions, the authors think that the treatment of congenital dislocation of the hip by the Pavlik harness is the safest method especially before 3 months of age.
作者报告了128例使用帕夫利克吊带治疗先天性髋关节脱位且随访超过一年的病例。他们研究了60例在治疗开始时年龄小于3个月的患者。他们实现了59例复位（98%），且股骨头无坏死。唯一一例未成功的病例，在之后采用持续牵引治疗，15个月大时股骨头情况存疑。股骨头出现时间正常，10至18个月时行走正常。只有像持续牵引一样严格观察，渐进性屈曲才能取得良好效果。治疗期间禁止盆浴，在复位稳定前吊带不得取下。要教导家长如何抱婴儿而不使婴儿双腿并拢。最重要的是在第8天、第21天和第60天进行X线检查，以防止过度屈曲、穿透不佳或持续偏心的陷阱。在这些条件下，作者认为帕夫利克吊带治疗先天性髋关节脱位是最安全的方法，尤其是在3个月龄之前。
