- See: Chiari osteotomy
- Discussion:
- most of these pts will require open reduction;
- usually involves open reduction combined with femoral shortening;
- femoral shortening:
- aids in reduction;
- decreases potential complications;
- technically difficult;
- Traction:
- should not be used, because of increased AVN & redislocation;
- Acetabular Osteotomies;
- indicated in older children with residual dysplasia and subluxation in whom remodeling of the acetabulum can no longer be anticipated