medial approach

Management 6 - 18 months

Two groups of dislocated hips

 

1.  Late presenters

2.  Failures of splint in those < age 6/12

 

Options

 

1.  Adductor tenotomy + closed reduction

- most surgeons will attempt this initially

- risk of AVN wilth forceful reduction / excessive abduction

 

2.  Open Reduction

- for failure of closed reduction