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

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

Journal of Pediatric Orthopedics 13(3): 311-313

1993

ISSN/ISBN: 0271-6798
PMID: 8496362
Document Number: 411619
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 property applied may be as safe as the Pavlik harness for DDH treatment.

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