Three splints were compared in the Wilkinson study: Craig, Pavlik, and von Rosen.30 Four of 28 in the Craig splint group, 13 of 43 in the Pavlik group, and 0 of 26 in the von Rosen group required further treatment in the form of plaster or operation.
This recommendation is based on the braces that were studied, but other similar fixed-position braces may or may not work as well as the braces mentioned in the evidence.
Risks and Harms
Nineteen percent of the patients in the rigid brace group experienced skin irritation29. There is a potential risk of AVN with all bracing; the relative risk is unknown between rigid and soft bracing.
- (29) Heikkila E. Comparison of the Frejka pillow and the von Rosen splint in treatment of congenital dislocation of the hip. J Pediatr Orthop 1988;8(1):20-21.
- (30) Wilkinson AG, Sherlock DA, Murray GD. The efficacy of the Pavlik harness, the Craig splint and the von Rosen splint in the management of neonatal dysplasia of the hip. A comparative study. J Bone Joint Surg Br 2002;84(5):716-719.