Pavlik harness orthosisPPavlik harness orthosisPavlik harness orthosisEnglishOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months)HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices6.0000000000000074.00000000000001395.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to care for your baby and use the Pavlik harness orthosis.</p><p>Your baby will be using the Pavlik harness orthosis (say: or-THOE-siss). Carefully read these instructions twice. If you have any questions, ask your orthotist right away. It is very important that you understand these instructions and follow them closely.</p><p>The Pavlik harness orthosis is used to correct <a href="/Article?contentid=944&language=English">developmental dysplasia</a> of the hip. It is a set of soft straps that hold your baby's legs apart with the knees bent. The Pavlik harness holds your baby's hips in the correct position.</p><p>Your orthopaedic surgeon will tell you how long your baby should wear the orthosis.</p> <figure> <span class="asset-image-title">Pavlik harness orthosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pavlik_harness_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The Pavlik harness is used to correct developmental dysplasia of the hip joints.</figcaption> </figure><h2>Key points</h2> <ul> <li>Your baby needs to wear a Pavlik harness orthosis to correct developmental dysplasia of the hip. The Pavlik harness works by keeping your baby's hip joints in the right position.</li> <li>Your baby will need a few days to get used to the harness.</li> <li>The harness should be adjusted as your baby grows.</li> <li>Watch your baby for signs of skin irritation or femoral nerve palsy.</li> <li>If you have any questions or concerns, call your orthotist.</li> </ul><h2>Femoral nerve palsy</h2> <p>Femoral nerve palsy is a rare condition that sometimes occurs in babies who use a Pavlik harness. This condition does not last forever, but your baby needs medical attention right away if it does happen. </p> <p>It will look as if your baby's leg has fallen asleep. Your baby will not kick their leg or move their toes when tickled.</p> <p>If this happens, take off the harness and call the orthopaedic clinic or the orthopaedic resident on call.</p><h2>Putting the orthosis on</h2> <ol> <li>Open all the straps and lay your baby on the harness with the chest strap across the chest.</li> <li>Fasten the chest strap. The top of the chest strap should be at the nipple line.</li> <li>You should be able to fit two of your fingers underneath the chest strap when it is fastened. This will ensure your baby can breathe properly in the harness.</li> <li>Fasten the shoulder straps to the chest strap. You should be able to fit one of your fingers underneath the shoulder straps when they are fastened. </li> <li>Place your baby's legs into the leg portion of the harness so that the toes are in the "socks."</li> <li>Secure the leg straps snugly, but not too tightly.</li> <li>Finally, thread the flexion and abduction straps through the leg portion of the harness and secure them. The leg straps have colour-coded tabs: Red-Red, Blue-Blue. The blue tabs will be on the left leg and the red tabs will be on the right leg. </li> </ol> <p>The straps on the harness will be marked to help you fasten them.</p> <p>As your baby grows, the tightness of the leg straps can be adjusted when needed. The toe part of the "socks" can also be snipped off as your baby's feet grow. Your orthotist can help with adjustments when necessary. Do not adjust any of the straps on the harness without speaking with your physician or orthotist. </p><h2>At SickKids</h2> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca. </a></p>
Attelle de PavlikAAttelle de PavlikPavlik harness orthosisFrenchOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months)HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices6.0000000000000074.00000000000001395.00000000000Health (A-Z) - ProcedureHealth A-Z<p>​Apprenez comment prendre soin de votre bébé et comment utiliser une attelle de Pavlik.</p><p>Votre bébé a besoin d'une orthèse appelée attelle de Pavlik. Lisez soigneusement deux fois les instructions qui suivent. Si vous avez des questions, posez-les tout de suite à votre orthésiste. Il est très important que vous compreniez bien ces instructions et que vous les suiviez à la lettre. </p><p>L’attelle de Pavlik sert à corriger une dysplasie congénitale de la hanche. Elle se compose d’un ensemble de sangles souples qui maintiennent écartées les jambes de votre bébé avec les genoux pliés. L’attelle de Pavlik maintient la hanche de votre bébé en bonne position.</p><p>Votre chirurgien orthopédiste vous indiquera combien de temps votre bébé doit porter l’orthèse.</p> <figure> <span class="asset-image-title">Orthèse - attelle de Pavlik</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pavlik_harness_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">L'attelle de Pavlik est utilisée pour corriger la dysplasie développementale des articulations de la hanche.</figcaption> </figure><h2>À retenir</h2> <ul><li>Votre bébé doit porter une attelle de Pavlik pour corriger une dysplasie congénitale de la hanche. L’attelle de Pavlik permet de maintenir les articulations des hanches en bonne position.</li> <li>Votre bébé aura besoin de quelques jours pour s’habituer à l’attelle.</li> <li>L’attelle devrait être ajustée au fur et à mesure que votre bébé grandit.</li> <li>Surveiller votre bébé pour déceler des signes d’irritation cutanée (de la peau) ou une paralysie du nerf fémoral.</li> <li>Si vous avez des questions ou des préoccupations, appelez votre orthésiste.</li></ul><h2>Paralysie du nerf fémoral</h2> <p>La paralysie du nerf fémoral est une maladie rare qui se produit parfois chez les bébés portant une attelle de Pavlik. Cette maladie ne va pas perdurer, mais votre bébé aura besoin d’une attention médicale immédiate si c’est le cas.</p> <p>Vous aurez l’impression que la jambe de votre bébé est endormie; il ne bougera ni la jambe, ni les orteils lorsqu’on le chatouille.</p> <p>Si cela se produit, retirez l’attelle et appelez la clinique orthopédique ou le résident orthopédiste de garde.</p><h2>Mettre l’orthèse</h2> <ol><li>Ouvrez toutes les sangles et couchez votre bébé sur l’attelle avec la sangle de la poitrine en travers de la poitrine.</li> <li>Fixez la sangle de la poitrine. Le haut de la sangle de la poitrine doit être au niveau des mamelons.</li> <li>Vous devez pouvoir passer deux doigts sous la sangle de la poitrine lorsqu’elle est attachée. Cela permet de s’assurer que votre bébé peut respirer correctement une fois dans l’attelle.</li> <li>Fixez les sangles des épaules. Vous devez pouvoir passer un doigt sous les sangles lorsqu’elles sont attachées.</li> <li>Placez les jambes de votre bébé dans la portion pour les jambes de l’attelle afin que ses orteils se trouvent dans les « chaussettes ».</li> <li>Fixez fermement les sangles pour les jambes, mais ne les serrez pas trop.</li> <li>Finalement, faites passer les sangles de flexion et d’abduction dans la portion pour les jambes de l’attelle et attachez-les. Les sangles pour les jambes présentent des languettes colorées : rouge-rouge, bleu-bleu. Les languettes bleues sont pour la jambe gauche et les languettes rouges, pour la jambe droite.</li></ol> <p>Les sangles de l’attelle possèdent des marques qui vous aideront à les attacher.</p> <p>Au fur et à mesure que votre bébé grandira, vous pourrez ajuster au besoin les sangles pour les jambes. L'extrémité des « chaussettes » peut aussi être coupée lorsque les pieds de votre bébé grandissent. Votre orthésiste peut vous aider à faire les réglages nécessaires. N’ajustez aucune des sangles de l’attelle sans en discuter avec votre médecin ou votre orthésiste.</p><h2>À l’hôpital SickKids :</h2> <p>Tous les profits des traitements orthétiques du Centre d’orthétique sont destinés aux soins des patients et la recherche à l’hôpital SickKids. Pour plus de renseignements, consultez le site à l’adresse <a href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca </a>(disponible en anglais seulement).</p>

 

 

Pavlik harness orthosis971.000000000000Pavlik harness orthosisPavlik harness orthosisPEnglishOrthopaedics/MusculoskeletalNewborn (0-28 days);Baby (1-12 months)HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices6.0000000000000074.00000000000001395.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to care for your baby and use the Pavlik harness orthosis.</p><p>Your baby will be using the Pavlik harness orthosis (say: or-THOE-siss). Carefully read these instructions twice. If you have any questions, ask your orthotist right away. It is very important that you understand these instructions and follow them closely.</p><p>The Pavlik harness orthosis is used to correct <a href="/Article?contentid=944&language=English">developmental dysplasia</a> of the hip. It is a set of soft straps that hold your baby's legs apart with the knees bent. The Pavlik harness holds your baby's hips in the correct position.</p><p>Your orthopaedic surgeon will tell you how long your baby should wear the orthosis.</p> <figure> <span class="asset-image-title">Pavlik harness orthosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pavlik_harness_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The Pavlik harness is used to correct developmental dysplasia of the hip joints.</figcaption> </figure><h2>Key points</h2> <ul> <li>Your baby needs to wear a Pavlik harness orthosis to correct developmental dysplasia of the hip. The Pavlik harness works by keeping your baby's hip joints in the right position.</li> <li>Your baby will need a few days to get used to the harness.</li> <li>The harness should be adjusted as your baby grows.</li> <li>Watch your baby for signs of skin irritation or femoral nerve palsy.</li> <li>If you have any questions or concerns, call your orthotist.</li> </ul><h2>Femoral nerve palsy</h2> <p>Femoral nerve palsy is a rare condition that sometimes occurs in babies who use a Pavlik harness. This condition does not last forever, but your baby needs medical attention right away if it does happen. </p> <p>It will look as if your baby's leg has fallen asleep. Your baby will not kick their leg or move their toes when tickled.</p> <p>If this happens, take off the harness and call the orthopaedic clinic or the orthopaedic resident on call.</p><h2>Clothing, diapers, and bathing</h2> <h3>Clothing</h3> <p>Your baby must wear the harness on bare skin during 24-hour use. This means that the harness must be beneath all clothing so you can remove the clothing to wash it. Make sure clothes are loose enough so they do not put pressure on the straps. </p> <p>Your baby can wear the following over the harness:</p> <ul> <li>undershirts </li> <li>dresses </li> <li>sleepers that are a few sizes bigger; for example, a four-month-old may need a sleeper made for an eight-month-old </li> </ul> <p>Your baby should not wear:</p> <ul> <li>pants or shorts </li> </ul> <h3>Diapers</h3> <p>Your baby can wear a diaper under the harness. You do not need to double diaper. When changing your baby's diaper, keep your baby's knees apart at all times. </p> <h3>Bathing</h3> <p>You must sponge bathe your baby with the harness on. Try to keep the harness dry.</p> <h3>For babies who are allowed one hour per day out of the harness</h3> <ul> <li>Your baby can wear an undershirt under the harness because you will have the opportunity to change it daily when you remove the harness for one hour. </li> <li>The hour out of the harness can be used for bathing and changing undershirts. </li> <li>Your baby can wear a diaper under the harness. </li> </ul> <h2>Holding your baby with the orthosis on</h2> <p>Support your baby with your hand between their legs.</p> <p>When breastfeeding your baby:</p> <ul> <li>Keep your baby's feet away from you with pillows to support the hips. </li> <li>If your baby has one-sided (unilateral) hip dysplasia, hold them with the affected side away from your body. </li> <li>Try the football hold. </li> </ul> <p>You can use child carriers for your baby because they keep the legs apart. Do not swaddle your baby.</p> <h3>Positions for your baby</h3> <p>The best position for your baby is the frog position. Your orthotist will show you this position.</p> <p>The worst position for your baby is with the knees together and legs straight. Never position your baby this way.</p> <h3>Sleeping position</h3> <p>Your baby should sleep on their back.</p> <h3>Playing and moving</h3> <p>Stretch and play with your baby's legs within the confines of the harness. It is good exercise and helps with digestion and your baby's mood. </p> <p>When your baby is ready, encourage tummy time if your physician or orthotist says to do so. This is very helpful, as it forces the hips out and back. </p> <h2>Keeping the orthosis clean</h2> <p>Have your baby wear a one-piece sleeper and bib during feedings and for spit-ups or drooling.</p> <p>If your baby must wear the harness 24 hours a day, you can spot-clean the harness with a cloth and mild detergent.</p> <p>If your baby is allowed one hour per day out of the orthosis, hand-wash the harness in cold water and a mild detergent, but only if the orthosis is soiled. To make sure it does not shrink, put the orthosis in the dryer on the fluff cycle with no heat. </p> <h2>Car seats</h2> <p>Adjust the straps of the car seat to accommodate your baby's position in the harness.</p> <p>Limit drives to less than one hour. For longer drives, give your baby a 10- to 15-minute break out of the car seat. This will help to remove any tension in the straps. </p> <h2>Things to watch for</h2> <h3>Skin problems</h3> <ul> <li>Check your baby's skin every day. </li> <li>If the skin is irritated (appears red), try a light dusting of corn starch. </li> <li>Dry your baby's skin well after bathing, especially behind the knees and in the hip creases. </li> <li>If your baby's skin is still irritated, contact your physician or orthotist. </li> </ul><h2>Follow-up</h2> <p>Your first follow-up appointment is usually between one to two weeks after the first fitting of the harness. It will include an ultrasound of your baby's hips. The ultrasound will be done in or out of the harness, depending on whether or not you are taking the harness off at home. </p> <p>After that, another follow-up appointment will be scheduled after two weeks and then one month after fitting.</p> <p>If you have any questions or concerns, call your orthotist or orthopedic surgeon.</p><h2>Putting the orthosis on</h2> <ol> <li>Open all the straps and lay your baby on the harness with the chest strap across the chest.</li> <li>Fasten the chest strap. The top of the chest strap should be at the nipple line.</li> <li>You should be able to fit two of your fingers underneath the chest strap when it is fastened. This will ensure your baby can breathe properly in the harness.</li> <li>Fasten the shoulder straps to the chest strap. You should be able to fit one of your fingers underneath the shoulder straps when they are fastened. </li> <li>Place your baby's legs into the leg portion of the harness so that the toes are in the "socks."</li> <li>Secure the leg straps snugly, but not too tightly.</li> <li>Finally, thread the flexion and abduction straps through the leg portion of the harness and secure them. The leg straps have colour-coded tabs: Red-Red, Blue-Blue. The blue tabs will be on the left leg and the red tabs will be on the right leg. </li> </ol> <p>The straps on the harness will be marked to help you fasten them.</p> <p>As your baby grows, the tightness of the leg straps can be adjusted when needed. The toe part of the "socks" can also be snipped off as your baby's feet grow. Your orthotist can help with adjustments when necessary. Do not adjust any of the straps on the harness without speaking with your physician or orthotist. </p><h2>Common questions about the Pavlik harness orthosis</h2> <h3>Why do both legs need to be in the harness?</h3> <p>The hips will be more stable if both legs are in the harness.</p> <h3>Will my baby be uncomfortable?</h3> <p>Your baby may be unsettled for the first 24 to 48 hours, but the harness does not hurt. Your baby will need to get used to keeping their legs apart and to having less freedom of movement. </p><h2>At SickKids</h2> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca. </a></p>https://assets.aboutkidshealth.ca/akhassets/Pavlik_harness_EQUIP_ILL_EN.jpgPavlik harness orthosis

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