Femur fractures in infants: A new therapeutic approach

J. P. Stannard, K. P. Christensen, K. E. Wilkins

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Fourteen patients with 16 femur fractures sustained between birth and 18 months of age were treated with a Pavlik harness rather than traditional casting methods. All of the fractures went on to stable union within 5 weeks. Eleven fractures have been followed-up for >12 months, with a range of 12-30 months, and a mean of 20.1 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, including fractures of the proximal and middle thirds of the femur; nonambulatory infants; <4 months old at the start of treatment or small size in selected infants up to 6 months old; and shortening of <2 cm. Advantages of the use of the Pavlik harness include ease of application without general anesthesia, minimal hospitalization, ease of reduction, ability to adjust the harness (and therefore the fracture alignment) if the reduction is lost, minimal cost, and ease of nursing, bonding with, and changing diapers on the infant.

Original languageEnglish (US)
Pages (from-to)461-466
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume15
Issue number4
StatePublished - 1995

Fingerprint

Femur
Infant Diapers
Fracture Fixation
General Anesthesia
Leg
Hospitalization
Nursing
Therapeutics
Parturition
Costs and Cost Analysis

Keywords

  • Femur
  • Fracture
  • Harness
  • Infant
  • Pavlik

ASJC Scopus subject areas

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

Cite this

Stannard, J. P., Christensen, K. P., & Wilkins, K. E. (1995). Femur fractures in infants: A new therapeutic approach. Journal of Pediatric Orthopaedics, 15(4), 461-466.

Femur fractures in infants : A new therapeutic approach. / Stannard, J. P.; Christensen, K. P.; Wilkins, K. E.

In: Journal of Pediatric Orthopaedics, Vol. 15, No. 4, 1995, p. 461-466.

Research output: Contribution to journalArticle

Stannard, JP, Christensen, KP & Wilkins, KE 1995, 'Femur fractures in infants: A new therapeutic approach', Journal of Pediatric Orthopaedics, vol. 15, no. 4, pp. 461-466.
Stannard JP, Christensen KP, Wilkins KE. Femur fractures in infants: A new therapeutic approach. Journal of Pediatric Orthopaedics. 1995;15(4):461-466.
Stannard, J. P. ; Christensen, K. P. ; Wilkins, K. E. / Femur fractures in infants : A new therapeutic approach. In: Journal of Pediatric Orthopaedics. 1995 ; Vol. 15, No. 4. pp. 461-466.
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