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o arise with a longer symptom duration, an urgent diagnosis and prompt surgical intervention are imperative to avert testicular loss. The aim of the treatment of developmental dysplasia of the hip (DDH) is to maintain a concentric reduction. We describe a novel approach to treat DDH that involves improvement of cartilaginous acetabular coverage, involves the preservation of the secondary ossification center of the acetabulum, and is adjunctive to early open reduction. Thirty-nine children (40 hips) aged six to 18 months were included in t