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2013, Número 1

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Rev Mex Ortop Ped 2013; 15 (1)


La cadera neonatal limítrofe: observación versus Pavlik

Clarke NMP, Judd J

Idioma: Español
Referencias bibliográficas: 45
Paginas: 14-18
Archivo PDF: 237.45 Kb.


RESUMEN

La displasia del desarrollo de la cadera representa el defecto de nacimiento más común que existe. Los resultados del tratamiento son directamente relacionados con la edad de inicio. El tratamiento de caderas consideradas como «limítrofes» es controversial por el riesgo de sobre-tratamiento y potenciales complicaciones relacionadas al tratamiento. En la actualidad la ortesis de abducción dinámica, arnés de Pavlik, es el método más utilizado para el tratamiento en menores de cuatro meses. El arnés está indicado en casos de displasia, inestabilidad y luxación que pueden ser detectados por clínica y confirmados por ultrasonografía. Su uso debe ser permanente hasta lograr la estabilidad y duración del tratamiento hasta la normalización de la cadera.


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