GAY XUONG DUI - Bong CT (10-03-2014)

Using PAVLIK HARNESS in treatment of femoral fractures for newborns... Twin pregnancies Breech presentations Prematurity The baby is especially large Difficulties in the process of

Using PAVLIK HARNESS in treatment

of femoral fractures for newborns

 Femoral Fractures are rare

Especially in Neonates

 The thighbone (femur) is the largest and strongest bone in the body

 It can break when a child

experiences a sudden forceful impact

Femoral fractures resulting from birth injuries are rare

Incidence 0.13 per 1,000 live births (0,13/1000)

Twin pregnancies

Breech presentations

Prematurity

The baby is especially large

Difficulties in the process of born

Previous treatments

 Splints powder

 Cast spica

 Bryant skin

traction

Injure skin

long hospital stay

Difficult to clean for baby

Difficult for the breastfed baby

Posture make baby

uncomfortable

New treatment

Using PAVLIK HARNESS for babies from 0 to 6 months

Pavlik harness

 To used to treatment of congenital hip dislocation

 It is also used in treatment of

femoral fractures for newborns

 Physiotherapist apply this method

 Treatment time is about 4 weeks

Don’t Injure skin

Don’t stay at hospital

Minimal cost

Easy to clean for baby

Easy for the breastfed baby

Baby feel comfortable

Evidence-based medicine

 J Pediatr Orthop  2013 Sep;33(6):614-7 doi:

10.1097/BPO.0b013e318292464a.

Warner WC Jr

criteria

treatment was 43 days

 Treatment with the Pavlik harness provides for excellent clinical

outcomes with a minimal

complication rate

Evidence-based medicine

 J Pediatr Orthop  1995 Jul-Aug;15(4):461-6.

 Stannard JP 1 ,  Christensen KP ,  Wilkins KE

 Fourteen patients with 16 femur fractures sustained between birth and 18 months of age were treated with a Pavlik harness

 All of the fractures went on to stable union within 5 weeks

months

 All of the fractures healed in good

alignment, with leg-length discrepancies <

1 cm

 There have been no adverse results or

complications as a result of treatment with the Pavlik harness to treat femur fractures

 There are many treatment of femoral

fractures in neonates

 However pavlik harness use in the treatment

of positive results by :

 reducing the hospital stay

 Minimal cost

 help them comfortable

 easy to care for baby

 avoid the Injure skin caused by other methods

Reference

 Bs Nguyễn văn Tiếp,Nhân 3 trường hợp gãy xương đùi sơ sinh

 http://orthoinfo.aaos.org/topic.cfm?topic=a00424

 http://www.orthobullets.com/pediatrics/4019/femur-fractures pediatric

 http://www.ima.org.il/FilesUpload/IMAJ/0/43/21981.pdf

 http://emedicine.medscape.com/article/1246915-overview

 http://orthopedics.about.com/od/pediatricorthopedics/p/

birthinjuries.htm

THANK YOU