Abstract
Aims:
To assess the success rate of closed reduction after failing Pavlik harness for treatment of DDH.
Methods:
It was a retrospective review of prospectively collected data. Patient's notes/computerised records were reviewed. Radiological investigations were also reviewed. Microsoft excel used for descriptive stats.
Results:
From 1998 to 2011, 975 patients (1322 hips) were treated with Pavlik harness. Of these, 188 (20%) were male and 787 (80%) were female patients. The Pavlik Harness was successful in 92% patients and failed in 8% (102) patients. These 102 patients underwent closed reduction under general anaesthesia. Of these, the closed reduction was successful in 33 (20%) patients and failed in 69(68%) patients who then underwent open reduction.
Conclusion:
The Success of closed reduction in patients with failed Pavlik Harness is low. Closed reduction may not overcome intrinsic and extrinsic obstructing factors responsible for failure of Pavlik Harness.
Level of evidence: IV
