{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:14:48Z","timestamp":1790612088845,"version":"4.1.0"},"reference-count":46,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2007,2,1]],"date-time":"2007-02-01T00:00:00Z","timestamp":1170288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:p> We reviewed the medical records of 115 patients with 130 hips with developmental dysplasia with complete dislocation in the absence of a neuromuscular disorder, spontaneous reduction with a Pavlik harness, and a minimum of 14 years\u2019 follow-up. The mean age at the time of harness application was 4.8 months (1 to 12) and the mean time spent in the harness was 6.1 months (3 to 12). A total of 108 hips (83.1%) were treated with the harness alone and supplementary surgery for residual acetabular dysplasia, as defined by an acetabular index &gt; 30\u00b0, was performed in 22 hips (16.9%). <\/jats:p><jats:p> An overall satisfactory outcome (Severin grade I or II) was achieved in 119 hips (91.5%) at a mean follow-up of 16 years (14 to 32) with a follow-up rate of 75%. Avascular necrosis of the femoral head was noted in 16 hips (12.3%), seven of which (44%) underwent supplementary surgery and nine (56%) of which were classified as satisfactory. The acetabular index was the most reliable predictor of residual acetabular dysplasia. <\/jats:p>","DOI":"10.1302\/0301-620x.89b2.18057","type":"journal-article","created":{"date-parts":[[2007,2,24]],"date-time":"2007-02-24T03:33:25Z","timestamp":1172288005000},"page":"230-235","source":"Crossref","is-referenced-by-count":84,"title":["Treatment for developmental dysplasia of the hip using the Pavlik harness"],"prefix":"10.1302","volume":"89-B","author":[{"given":"J.","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, 260-8677, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kamegaya","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Chiba Children\u2019s Hospital, 579-1 Heta-chou, Midori-ku, Chiba City, 266-0007, Chiba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Saisu","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Chiba Children\u2019s Hospital, 579-1 Heta-chou, Midori-ku, Chiba City, 266-0007, Chiba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Someya","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedic Surgery Chiba Rehabilitation Center, 1-45-2 Honda-chou, Midori-ku, Chiba City, 266-0005, Chiba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Narita Red Cross Hospital, 90-1 Iida-chou, Narita City, 286-8523, Chiba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Moriya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, 260-8677, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Pavlik A. 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