Besides a hip-spica cast, what other devices are used in the treatment of hip dysplasia in a child?
1. Pavlik harness
2. Daily adduction and abduction exercises
3. Harrington rod
4. A large, rounded pillow
Answer: 1
To help stabilize the hip, a Pavlik harness may be used from birth until around 6 months of age. Then, if continued immobilization is needed, a spica cast may be applied after closed reduction of the hip. The hip needs stabilization, not mobility, thus exercises are not appropriate. Adduction, especially, would contribute to redislocation of the hip. Harrington rods are surgically inserted to treat scoliosis. Although pillows may provide comfort, they do not provide sufficient support. (Hockenberry, Wilson, 9 ed., pp. 422-423.)
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