The treatment of congenital dislocation of the knee with the pavlik harness

  title={The treatment of congenital dislocation of the knee with the pavlik harness},
  author={T. Iwaya and R. Sakaguchi and N. Tsuyama},
  journal={International Orthopaedics},
SummaryWe have used the Pavlik harness in the treatment of congenital dislocation of the knee in six knees in five patients, with satisfactory results. We believe that the muscles in the thigh which cross both the hip and knee joints, the rectus femoris and hamstrings, play an important role in the spontaneous reduction of the joint. Full correction is not always obtained, our results are comparable with those described by other authors. We consider that the advantages of using the harness are… Expand
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This study evaluated the medium-term results of PQR and VYQ, and set a protocol of management for CDK based on a modified grading system, and recommended the following. Expand
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The modifications to the original Curtis and Fisher technique overcame the specific problems they were expected to avoid, and the overall results were better in non-syndromic CDK than in children with arthrogryposis, but differences of some variables were not significant. Expand
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For CDK patients, early and direct closed reduction within 24 hours of birth affords outcomes graded as either excellent or good, and conservative methods at an early stage is most likely to yield successful results. Expand
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  • Medicine
  • Journal of pediatric orthopedics
  • 2017
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  • C. Johnston
  • Medicine
  • Journal of pediatric orthopedics
  • 2011
Outcome for CDK treated simultaneously seems better than staged treatment due to improved retained quadriceps function and attention to teratologic instability. Expand
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This is the first case of congenital dislocation of the knee reported after cervical cerclage of an incompetent cervix to prevent a pre-term delivery and the Pavlik Harness was used to treat the knee and the hip at the same time. Expand
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The lasting results found in this study suggest that if a congenitally hyperextended knee with subluxation fails to respond to conservative treatment, early open reduction is indicated. Expand
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In infants, the Pavlik harness successfully utilizes the principle of reduction in flexion, avoiding forced abduction, in infants. Expand
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