Developmental dysplasia of the hip Quiz: Ace Your Exams
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An 11-month-old girl is brought to the pediatric clinic by her mother for a routine well-child exam. The patient started walking at 9 months of age, and the mother has noticed that her daughter has an uneven gait. Height and weight are in the 89th and 80th percentiles, respectively. Temperature is 37.0°C (98.6°F), blood pressure is 95/59 mmHg and pulse is 132/min. Thigh-length discrepancy on the left and asymmetry of the gluteal skin folds are noted. There is decreased abduction and limited range of motion of the left hip. A bilateral hip radiograph shows delayed ossification and femoral head dislocation on the left side. Which of the following is the most appropriate treatment at this time?
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