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 journalArticle

48 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 languageEnglish (US)
Pages (from-to)460-462
Number of pages3
JournalJournal of Pediatric Orthopaedics
Volume24
Issue number5
DOIs
StatePublished - Jan 1 2004

Keywords

  • Femur fractures
  • Pavlik harness
  • Spica cast

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Comparison of Pavlik harness application and immediate spica casting for femur fractures in infants'. Together they form a unique fingerprint.

  • Cite this