Developmental hip dysplasia in children

Developmental hip dysplasia is frequently encountered in the pediatric orthopedic practice. Early detection and treatment with a Pavlik harness or abduction orthosis is desirable, and results in improved outcomes and decreased healthcare costs. After 6 months of age, closed or open reduction with spica casting is required to treat a persistent hip dislocation. Dysplasia with instability should be treated with osteotomies and/or capsulorrhaphy. The role of acetabular osteotomy for asymptomatic dysplasia in the child is still debated. With the advent of the powerful periacetabular osteotomy, it may be reasonable to wait until the child becomes symptomatic.