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帕夫利克吊带与弗雷伊卡夹板治疗发育性髋关节发育不良的双中心研究

Pavlik harness versus Frejka splint in treatment of developmental dysplasia of the hip: bicenter study.

作者信息

Atar D, Lehman W B, Tenenbaum Y, Grant A D

机构信息

Pediatric Orthopedic Surgery, Ben-Gurion University Hospital, Beer-Sheva, Israel.

出版信息

J Pediatr Orthop. 1993 May-Jun;13(3):311-3. doi: 10.1097/01241398-199305000-00006.

DOI:10.1097/01241398-199305000-00006
PMID:8496362
Abstract

A bicenter study was conducted to compare the results of treatment in developmental dysplasia of the hip (DDH) with Frejka splint versus Pavlik harness. Eighty-four dislocated hips were treated by the Frejka splint, and 48 dislocated hips were treated by the Pavlik harness. Failure of reduction was 10% with the Frejka splint and 12% with the Pavlik harness. Avascular necrosis (AVN, mostly type 1) was detected in 7% of Frejka patients versus 6% in Pavlik patients. The Frejka splint is simpler to use and if properly applied may be as safe as the Pavlik harness for DDH treatment.

摘要

一项双中心研究旨在比较使用弗雷卡夹板(Frejka splint)与帕夫利克吊带(Pavlik harness)治疗发育性髋关节发育不良(DDH)的结果。84例脱位髋关节采用弗雷卡夹板治疗,48例脱位髋关节采用帕夫利克吊带治疗。弗雷卡夹板复位失败率为10%,帕夫利克吊带为12%。弗雷卡夹板治疗的患者中7%检测到股骨头缺血性坏死(AVN,大多为1型),帕夫利克吊带治疗的患者中为6%。弗雷卡夹板使用更简单,若应用得当,在DDH治疗中可能与帕夫利克吊带一样安全。

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