Pavlik Harness
Other Names
- Pavlik Harness
- Hip abduction brace
- Pavlik-type harness
- Hip abduction orthosis
Background
General
- The pavlik harness is the gold standard for treating DDH
- Enables hip motion within limits, preventing adduction and extension
- Although it permits some motionn, overl hip mobility can still be limited
- Success rates with proper treatment are as high as 98%[5]
Controversy
- Duration of treatment
- Weaning management
- Duration of radiographic follow up
Indications
Contraindications
- Needs to be updated
Procedure
Equipment
- See: Casting materials
Technique
- Needs to be updated
Aftercare
- Typically non-weight bearing until re-evaluated
- Advise patient to keep cast or splint clean and dry
- Do not insert objects into splint/ cast
- Monitor for complications (worsening pain, paresthesia/ numbness, color changes)
- Seek further care if unable to control pain at home
Complications
- Plaster burn/ thermal injury
- Pressure sores
- Nerve palsy
- Vascular compromise
- Splint dermatitis
- Permanent joint stiffness
- Skin infection
See Also
References
- ↑ Ucpunar, Hanifi, et al. "Effect of the Pavlik harness used in the treatment of developmental dysplasia of the hip on unaided sitting and independent walking age." Journal of Children's Orthopaedics 18.1 (2024): 79-84.
- ↑ Poole, Claire. Exploring the experiences of parents caring for their infant with Developmental Dysplasia of the Hip (DDH): An interpretative phenomenological analysis. Diss. Edinburgh Napier University, 2019.
- ↑ Atrey, Amit, and Marcos Katchburian. "The creation of a Pavlik “hemi-harness” for a singly irreducible hip in bilateral dysplastic hips." Journal of children's orthopaedics 4.1 (2010): 81-84.
- ↑ Guarniero, Roberto. "Dysplasia of hip development: update." Revista Brasileira de Ortopedia (English Edition) 45.2 (2010): 116-121.
- ↑ Sananta, Panji, et al. "PAVLIK HARNESS FOR DEVELOPMENTAL DYSPLASIA OF THE HIP UNDER 6 MONTHS: IS IT EFFECTIVE? A." (2022).
Created by:
John Kiel on 31 July 2025 17:51:20
Authors:
Last edited:
31 July 2025 18:03:16
Category: