If the Pavlik harness is unsuccessful or if a child is older than 6 months, they may need a body cast or a brace to hold the thighbone in the hip socket.
Doctors either manipulate your child’s joint with a cast or harness (closed reduction) or operate to put the thighbone in the socket (open reduction).
Open reduction is necessary for about 10% to 20% of children with DDH who are 6 to 18 months of age. During the procedure, the doctor opens the hip and puts the ball directly into the hip socket.
In some children, the hip tendon (psoas) also is tight and must be released. Doctors do this by making a small cut through the skin to release the tendon.