PAVLIK HARNESS VERSUS FREJKA SPLINT IN TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP - BICENTER STUDY

A bicenter study was conducted to compare the results of treatment in developmental dysplasia of the hip (DDH) with Frejka splint versus Pav lik harness. Eighty-four dislocated hips were treated by the Frejka sp lint, and 48 dislocated hips were treated by the Pavlik harness. Failu re of reduction was 10% with the Frejka splint and 12% with the Pavlik harness. Avascular necrosis (AVN, mostly type 1) was detected in 7% o f Frejka patients versus 6% in Pavlik patients. The Frejka splint is s impler to use and if properly applied may be as safe as the Pavlik har ness for DDH treatment.