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Difficult-to-Treat Ortolani-Positive Hip: Improved Success With New Treatment Protocol
Journal of Pediatric Orthopaedics , 03/23/09
Swaroop VT et al. - The authors presented a series of 52 Ortolani-positive hips with a success rate of reduction of 85%. Now, The authors protocol for treating Ortolani-positive hips has evolved to include serial orthopaedic office-based ultrasound in all patients and use of a hip abduction orthosis in hips remaining unstable after 3 weeks in a Pavlik harness. Three previous studies at major centers reported successful reduction in only 63% to 71%. In group 2, the current success rate of 93% exceeds that previously reported by us and is significantly greater than these 3 previous studies.
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