{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T15:20:39Z","timestamp":1767453639821,"version":"3.38.0"},"reference-count":60,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec><jats:title>Purpose:<\/jats:title><jats:p> Some articles have focused on the effectiveness of the Pavlik harness treatment for unstable and dislocated hips, yet data on monitoring its effectiveness with the acetabular index remains elusive. Therefore, this study aimed to assess Pavlik harness effectiveness in infants \u22646\u2009months diagnosed with grade I developmental dysplasia of the hip using acetabular index improvement and identify the possible predictors of successful Pavlik harness treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> A retrospective review of infants with grade I acetabular dysplasia treated with a Pavlik harness and monitored with anteroposterior pelvis X-rays at presentation and follow-up. Successful treatment was defined as achieving an acetabular index &lt;30\u00b0. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 231 infants with acetabular dysplasia were treated with a Pavlik harness. A successful outcome was achieved in 135 infants (58.4%). Younger age, lower initial acetabular index, and patients with unilateral developmental dysplasia of the hip were significant predictors of a successful outcome. An age of 4.5\u2009months or older was found to be the threshold for an unsuccessful result following Pavlik harness treatment, with a sensitivity of 65.2% and specificity of 57.3%. An initial acetabular index of 35.5\u00b0 was found to be the threshold for an unsuccessful result, with a sensitivity of 83.7% and specificity of 61.5%. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Pavlik Harness\u2019s success in correcting the acetabular index in acetabular dysplasia patients was related to unilateral cases, a younger age at presentation, and a lower initial acetabular index. The thresholds for unsuccessful treatment were an age of 4.5\u2009months or greater and an acetabular index of 35.5\u00b0 or higher. <\/jats:p><\/jats:sec>","DOI":"10.1177\/18632521231199519","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T09:32:35Z","timestamp":1695634355000},"page":"598-606","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Acetabular index as an indicator of Pavlik harness success in grade I developmental dysplasia of the hip: A retrospective study"],"prefix":"10.1177","volume":"17","author":[{"given":"Mohamad Samih","family":"Yasin","sequence":"first","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1130-7687","authenticated-orcid":false,"given":"Joud","family":"Al Karmi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Jordan, Amman, Jordan"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3547-4449","authenticated-orcid":false,"given":"Dara Osama","family":"Suleiman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Yusur Myasar","family":"Raja","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Mohammad A","family":"Alshrouf","sequence":"additional","affiliation":[{"name":"Medical Internship, Jordan University Hospital, The University of Jordan, Amman, Jordan"}]},{"given":"Ahmad","family":"Abu Halaweh","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2382-5585","authenticated-orcid":false,"given":"Mohammad","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]},{"given":"Omar","family":"Samarah","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan"}]}],"member":"179","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"bibr1-18632521231199519","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60710-7"},{"key":"bibr2-18632521231199519","first-page":"67","volume":"57","author":"Moraleda L","year":"2013","journal-title":"Rev Esp Cir Ortop 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