Effect comparison of knee-chest elastic bandage fixation and Pavlik harness fixation on the treatment of femoral shaft fractures in newborns

• Main Authors: Guo-Xin Qu, Kun Fu, Hong-Chao Li, Jian-Qiang Zhou, Zhi-Hua Ji, Bing-Shen Jia, Sheng Wang, Peng Yu, Hao Qi, Ying Zhang
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2019-08-01
• Series: Journal of Hainan Medical University
• Subjects: newborn; femoral shaft fracture; knee-chest elastic bandage fixation; pavlik harness fixation
• Online Access: http://www.hnykdxxb.com/PDF/201915/11.pdf

Objective: To study and analyze the clinical efficacy of fixation of the elastic bandage of immobilization of knee-chest position and Pavlik harness fixation in the treatment of neonatal femoral shaft fractures. Methods: A retrospective analysis was conducted from May 2010 to March 2017 with a total of 37 cases of femoral shaft fracture of the newborn. Among them, 17 newborns with femur shaft fracture were treated using this fixation of the elastic bandage of immobilization of knee-chest position, and 20 newborns were treated utilizing Pavlik harness fixation. All patients were followed up for 24 months. It was compared between the two groups in length of hospitalization, hospitalization cost, the incidence of complications, fracture healing rate and post-operation angulation, rotation and shortening indexes. Results: Compared with the Pavlik harness fixation group, the hospitalization cost of knee-chest elastic bandage fixation group was lower (P<0.05), the difference was statistically significant. There is no significant difference between the two groups in terms of length of hospitalization, complications and fracture healing. The two groups of treatment methods compared in angle formation, rotation and shortness (P＞0.05), with no statistical difference. Conclusions: Both knee-chest elastic bandage fixation and Pavlik harness fixation are effective methods for the treatment of neonatal femoral shaft fractures. But the former has lower cost and simpler operation, which is worthy of clinical application.