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In this study, we aimed to evaluate the long-term clinical and radiological results of single-stage open reduction through a medial approach and Pemberton acetabuloplasty in developmental dysplasia of the hip. We treated 32 hips (22 patients) with developmental dysplasia by a single-stage open reduction through Ferguson’s medial approach and Pemberton acetabuloplasty. The procedure was performed bilaterally in 10 patients. The mean age of the patients at the time of the operation was 19.8 months (16–24 months). The mean follow-up period was 10.9 years (7–19 years). Group I avascular necrosis according to the Kalamchi and MacEwen classification was observed in two hips and group II in one hip. Radiologically, 90.6% of the hips were classified as Severin class I and 9.4% of the hips were classified as Severin class II. At the latest follow-up, 30 hips were assessed clinically as excellent and two hips as good. No patient required subsequent surgery. We conclude that single-stage medial open reduction and Pemberton acetabuloplasty represent an effective method for developmental dysplasia of the hip in children older than 15 months of age.

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Introduction: Currently Salter-Harris (SH) classification is generally used in physeal fractures. It is reliable and valed in many cases. In general concept, although this clasification system describes many different fracture configurations, there is an unclassifed group. Case: Here we present an eleven years old boy who underwent surgery after an unclassifed fracture of distal radial epiphysis according to SH. The main reason for the research was that we could not decide about the treatment initially after the first operation. We discussed the current classsifications near SH and essentials on the neccesity of surgical approach. Conclusion: Surgical attempt must be done in such cases which can not be decided whether if a SH type 2 or 3. Beside this situation, an attempt must be done for the classification of the fracture (Ogden tip 2b, Sferoupulos tip 3).  Continuous...