Comparison of Pavlik harness application and immediate spica casting for femur fractures in infants

David A. Podeszwa; James F. Mooney; Kathryn E. Cramer; Michael J. Mendelow

doi:10.1097/01241398-200409000-00002

Comparison of Pavlik harness application and immediate spica casting for femur fractures in infants

David A. Podeszwa, James F. Mooney, Kathryn E. Cramer, Michael J. Mendelow

Research output: Contribution to journal › Article › peer-review

61 Scopus citations

Abstract

This retrospective study compares Pavlik harness application versus spica casting for the treatment of children under 1 year of age with a femoral shaft fracture. The clinical and radiographic outcomes of 24 patients treated in a Pavlik harness were compared with 16 patients treated in a spica cast. The average age and weight of the two groups were significantly different, but there were no differences in radiographic outcomes between the Pavlik and spica cast groups. Approximately one third of all spica patients had a skin complication that added an additional risk to the patient. There were no similar complications in the Pavlik group. There were no differences in the outcome of the fractures in the two groups. The authors believe that all children under 1 year of age with a femoral shaft fracture are candidates for treatment with a Pavlik harness.

Original language	English (US)
Pages (from-to)	460-462
Number of pages	3
Journal	Journal of Pediatric Orthopaedics
Volume	24
Issue number	5
DOIs	https://doi.org/10.1097/01241398-200409000-00002
State	Published - Jan 1 2004

Keywords

Femur fractures
Pavlik harness
Spica cast

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Orthopedics and Sports Medicine

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10.1097/01241398-200409000-00002

Cite this

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abstract = "This retrospective study compares Pavlik harness application versus spica casting for the treatment of children under 1 year of age with a femoral shaft fracture. The clinical and radiographic outcomes of 24 patients treated in a Pavlik harness were compared with 16 patients treated in a spica cast. The average age and weight of the two groups were significantly different, but there were no differences in radiographic outcomes between the Pavlik and spica cast groups. Approximately one third of all spica patients had a skin complication that added an additional risk to the patient. There were no similar complications in the Pavlik group. There were no differences in the outcome of the fractures in the two groups. The authors believe that all children under 1 year of age with a femoral shaft fracture are candidates for treatment with a Pavlik harness.",

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AU - Mooney, James F.

AU - Cramer, Kathryn E.

AU - Mendelow, Michael J.

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AB - This retrospective study compares Pavlik harness application versus spica casting for the treatment of children under 1 year of age with a femoral shaft fracture. The clinical and radiographic outcomes of 24 patients treated in a Pavlik harness were compared with 16 patients treated in a spica cast. The average age and weight of the two groups were significantly different, but there were no differences in radiographic outcomes between the Pavlik and spica cast groups. Approximately one third of all spica patients had a skin complication that added an additional risk to the patient. There were no similar complications in the Pavlik group. There were no differences in the outcome of the fractures in the two groups. The authors believe that all children under 1 year of age with a femoral shaft fracture are candidates for treatment with a Pavlik harness.

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KW - Spica cast

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Comparison of Pavlik harness application and immediate spica casting for femur fractures in infants

Abstract

Keywords

ASJC Scopus subject areas

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