Comparison of Management of Developmental Dysplasia of the Hip in a Pavlik Harness by Orthopaedic Surgeons, Orthopaedic Pediatricians, and Advanced Practice Providers. Issue 3 (July 2019)

• Record Type: Journal Article
• Authors: Bellevue, Kate D.; Bompadre, Viviana; Lindberg, Antoinette W.
• Is Part Of: Journal of orthopedics for physician assistants. Volume 7:Issue 3(2019)
• Publication Date: 2019-07
• Subjects: Orthopedics -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedic surgery; Orthopedics; Periodicals; 616.7
• DOI: 10.2106/JBJS.JOPA.19.00007
• Languages: English
• ISSNs: 2470-1122

Abstract

Abstract : Developmental dysplasia of the hip (DDH) is common, with high success rates of treatment in a Pavlik harness for children less than 6 months old. We performed a retrospective review, analyzing the outcomes of patients with DDH managed in a Pavlik harness by orthopaedic surgeons, an orthopaedic-trained physician, and advanced practice providers (APPs). There was no significant difference among provider types in patients requiring operative procedures of any kind. A straightforward treatment of DDH can be performed by orthopaedic-trained pediatricians and APPs, with referral to an orthopaedic surgeon if the patient fails treatment in a Pavlik harness.