Understanding the Pavlik Harness: A Critical Tool for Treating Hip Dysplasia
Hip dysplasia is a medical condition characterized by the underdevelopment or shallowness of the acetabulum, the socket of the hip joint. A widely adopted treatment method for hip dysplasia is the Pavlik harness, a device designed to facilitate the proper development of the hip joint through strategic positioning.
The Pavlik harness consists of a series of straps and Velcro tabs that secure the child’s hips in what is commonly referred to as the "frog position."
This position keeps the hips flexed and allows gravity to gradually pull the legs apart, promoting abduction. As the hips are held in this position, the goal is for the femoral head to settle more deeply into the acetabular socket, thereby stimulating the necessary development of the hip joint. The progress of the treatment is typically monitored through regular ultrasound scans to assess the effectiveness of the harness.
For optimal results, it is essential that the child spend as much time as possible on their backs while wearing the harness. However, practical considerations, such as feeding, may necessitate temporary adjustments.
Parents are encouraged to maintain their feeding routines, as disrupting them is not advised.
Moreover, it is imperative that clothing worn over the harness be loose-fitting to allow for adequate hip abduction; tight clothing or wrapping is not recommended.
The Pavlik harness must be fitted and adjusted by a qualified health professional. Continuous monitoring and occasional adjustments are necessary to ensure proper fit and function. In cases where the hip is unstable or has experienced dislocation, wearing the harness continuously is essential. Sponge bathing around the harness is recommended during this period rather than removing it.
The duration of treatment with the Pavlik harness varies significantly based on the severity of the dysplasia and the child’s response to the device. Treatment typically lasts between 8 to 12 weeks, although some infants may require additional forms of bracing after their time in the harness. The collaborative efforts of health professionals and parents in adhering to treatment protocols are vital for the successful resolution of hip dysplasia in infants.
Common Questions:•
Can I still breastfeed my baby in the Pavlik Harness?
Yes you should continue to feed your baby as you normally would. Feedingis the most important thing for your baby.
It may take a couple of days for you and your baby to get use to feeding in the harness.
Please see link belowfor some helpful feeding positions.
https://www.breastfeeding.asn.au/resources/breastfeeding-baby-hipdysplasia
If you feel that you need more support to continue breastfeeding your baby you can contact a lactation consultant
https://www.breastfeeding.asn.au/looking-lactation-consultant
Can we put socks under or over the feet part of the harness?
It is best you put socks over the top as putting them underneath can make the harness slip.
Can my baby wear clothing such as t-shirts and jumpers over the top of the harness?
Clothing cannot weigh on the straps going from the belt to the boots or this may stop them functioning.
Usually, extra-large sizes will not do this. It is best to put a cardigan over the top rather than a jumper. You can put large harem type pants over the top of the brace.
