Eficacia del Arnés de Pavlik versus Férula Milgram en el tratamiento de displasia del desarrollo de cadera en lactantes de 1 mes a 12 meses de edad: revisión sistemática

Abstract

Background: Developmental hip dysplasia (DHD) is the most common hip disorder in pediatric orthopedics. Its complications or sequelae include dysplasia, osteonecrosis, and osteoarthritis. Various treatments exist, including the Pavlik Harness and the Milgram Splint. Objective: To establish the effectiveness of the Pavlik Harness versus the Milgram Splint in the treatment of hip dysplasia in infants. Methods: Systematic review was conducted in the databases PubMed, Science Direct, and SciELO, among others, through documents in English and Spanish, using keywords, such as dysplasia, hip, infants, Pavlik Harness, Milgram Splint. Results: After reviewing a total of six articles, it was found that developmental hip dysplasia is a high-complexity perinatal bone condition. A commonly used procedure is the Pavlik Harness, indicated as a first-line treatment for children with DHD due to its high efficacy. Insufficient studies confirm the effectiveness of the Milgram Splint. The use of the Pavlik Harness yields proven results regarding its efficacy. Conclusions: The Pavlik Harness is the first-line treatment for children with early diagnosis of DHD due to its high effectiveness. There is insufficient documentary evidence to support the level of efficacy of the Milgram Splint. Keywords: dysplasia, hip, infants, Pavlik Harness, Milgram Splint