Atar D, Lehman W B, Tenenbaum Y, Grant A D
Pediatric Orthopedic Surgery, Ben-Gurion University Hospital, Beer-Sheva, Israel.
J Pediatr Orthop. 1993 May-Jun;13(3):311-3. doi: 10.1097/01241398-199305000-00006.
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.
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。