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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 14 No. 1-2 (2023)

Use of Pavlik Harness in the Treatment of Infantile Femur Fracture: Clinical and Radiological Outcome

Vol. 14 No. 1-2 (2023) — cover
Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2023
CONTENTSVolume 14Number 1 & 2January - July 2023
Editorial
Gender Diversity and Disorders of Sex Development: Time for Greater Medical Awareness in Bangladesh
Md Nazrul Islam
01
Original Articles
Impact of Prematurity and Low Birth Weight on Postoperative Mortality in Neonatal Intestinal Obstruction
Manash Talukdar, Md Tawhidul Islam, Shabnam Rashedi, Dibendu Kumar Das, Md Tayef Rahman, Must Tamanna Ruksana, Towkir Ahmed, Anshua Das Trisha
04
Early intervention in NTDs in children leads to better surgical outcome
Anupam Das, Mohammad Mahabubul Alam
11
Use of Pavlik Harness in the Treatment of Infantile Femur Fracture: Clinical and Radiological Outcome
Tafhim Ehsan Kabir, Touhidul Islam, Rahma Binte Anwar, Nafeesa Mubashshira
17
Assessing the Role of Mid-day Meal (MDM) on the Nutritional Profile of School Going Children: Snapshot of a Suburban School
Arpita Biswangree, Md Fahadul Islam, Mustari Nailah Tabassum, Rahatil Asyekin Raha, Sakibul Alam, Mohammad Ismail, Md Sharif Imam, Tahmina Banu
24
Operational Diagnostic Criteria in Conjunction with the Triangular Cord Sign Enhance the Screening for Biliary Atresia
Md Jahidur Rahman, Manash Talukdar Talukdar, Md Mahbub Hossain, Shabnam Rashedi, Sabrina Rahman Mahi
31
Penile Agenesis: Demographic Characteristics and Management Experience in a Tertiary Care Teaching Hospital in Bangladesh
Md Nazrul Islam, Shoheli Alam, Mohammad Mahbubul Alam, Taslima Akter, Asma Ul Husna, Sabrina Khan Mou, Pravin Chowdhury, Mohammad Idrish Ali
36
Evaluation of Chronic Gingivitis in Response to Nickel Chromium and Gold Alloy Crown
Mohammadullah, Md Nazrul Islam, Mohammed Mahbub Zaki, Tawfiqur Rahman, Md Immamur Rashid, Mohammad Idrish Ali
39
Congenital choanal atresia - Endonasal endoscopic surgery - Bangabandhu Sheikh Mujib Medical University
Mohammad Idrish Ali, Kamrul Hasan Tarafder, Sheikh Hasanur Rahman, Rokeya Begum, Md Nazrul Islam, Asma Ul Husna, Sabrina Khan Mou
45
Case Reports
Adult Presentation of Untreated Exstrophy–Epispadias Complex with Squamous Cell Carcinoma: A Rare Case Report
Md Ruhul Amin, Md Nazrul Islam, Pravin Chowdhury
49
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Tafhim Ehsan KabirAssociate Professor, Department of Orthopaedic Surgery, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Touhidul IslamAssistant registrar, Department of Orthopaedic Surgery, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh
  • Rahma Binte AnwarDepartment of Anaesthesia, Apollo Imperial Hospital, Chattogram, Bangladesh
  • Nafeesa MubashshiraMedical officer, Department of orthopaedic surgery, Chattogram Maa-O-Shishu Hospital Medical College, Chattogram, Bangladesh

Keywords

Pavlik Harness Femur Fracture Pediatric Vulgus Angulation Lateral Angulation Limb Length Discrepancy

Abstract

Background: Infantile femur fractures are a significant clinical challenge, with treatment modalities varying widely. The Pavlik Harness, traditionally used for developmental dysplasia of the hip, has been employed in the conservative management of femur fractures in infants with promising outcomes. This study aims to evaluate the clinical and radiological outcomes of using the Pavlik Harness in the treatment of femur fractures in infants aged less than 6 months. Methods: This retrospective observational study was conducted at Chattogram Maa-O-Shishu Hospital Medical College in Bangladesh from January 2021 to December 2023, encompassing a review of 22 cases of isolated femur fractures in infants treated with the Pavlik Harness. Inclusion criteria were age under 6 months, isolated femur fracture, and fracture involving the proximal and middle third of the femur. Exclusion criteria included polytrauma, neuromuscular disease, and incomplete medical records or lack of parental consent. Result: The majority of fractures were due to birth trauma (81.82%), with a higher incidence in males (63.64%) and right-sided fractures (63.64%). The mean age and weight at the time of injury were 11.00±20.07 days and 2.86±0.52 kg, respectively. Initial angulation was 17.91±2.67 degrees AP/Vulgus and 14.82±3.34 degrees Lateral/Procurvatum. At the 2-month follow-up, significant improvements were observed with mean angulations of 8.09±2.94 degrees AP/Vulgus and 5.91±1.80 degrees Lateral/Procurvatum. Limb length discrepancy was minimal, with a mean of 2.32±0.39 cm. The treatment was associated with a low complication rate, with only 9.09% of cases developing skin excoriation. Conclusion: The Pavlik Harness is an effective conservative treatment for infantile femur fractures, ensuring satisfactory clinical and radiological outcomes. The harness facilitates proper fracture alignment and promotes favorable bone healing dynamics, with minimal limb length discrepancy and low complication rates. These findings support the continued use of the Pavlik Harness in appropriate cases and underscore the need for further prospective studies to validate these results.

Journal of Paediatric Surgeons of Bangladesh (2023) Vol. 14 (1 & 2): 17–23

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