ABSTRACT
The Pavlik harness proved to be a successful means of treating congenital hip dislocation and dysplasia. Success occurred without significant complications in 99% of the treated hips.
Subject(s)
Hip Dislocation, Congenital/therapy , Hip Joint , Orthotic Devices , Acetabulum/pathology , Evaluation Studies as Topic , Femur Head/pathology , Hip Dislocation, Congenital/pathology , Hip Joint/pathology , Humans , Infant , Orthotic Devices/adverse effectsABSTRACT
One hundred cases of exstrophy of the bladder treated with bilateral posterior iliac osteotomies to facilitate anterior closure of the pelvis and soft tissues were reviewed. Sixty-nine cases followed 5 to 18 years were evaluated in terms of: success of anterior closure (95%); degree of urinary continence (45% with near normal continence); incidence of chronic urinary tract infection, dilation of upper urinary tract and need for ileal diversion (30%); the effect of bony reconstruction on hip and pelvic development. Modifications of the technique of pelvic stabilization anteriorly and a previously unreported complication of asymmetrical pelvic closure are presented. Closure of the bony pelvis appears to increase the success of repair of both in terms of soft-tissue closure and attainment of urinary continence. Follow-up examinations of the patients throughtout the growing years with special attention to possible development of pelvic obliquity or scoliosis are important.
