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Though avascular necrosis of the femoral head following the treatment of CDH has remarkably decreasd by the inducement of Pavlik harness, it is not completely vanished.From the follow-up study of 78 CDH hips which were easily reduced by Pavlik's method, 3 avascular necrosises were found.After the result of reinvestigation of the detail of these three cases, the authors concluded that one of the most influencing factor of it is the direct trauma delivered on the femoral head by posterior rim of acetabulum at the time of reduction.The trauma could be minimized if the hip joint is flexed more than 90 degrees until the reduction is obtained.

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To Reduce the Incidence of Avascular Necrosis of the Femoral Head as a Complication of Treatment by Pavlik Harness for Congenital Dislocation of the Hip