Objective Our study aimed to determine the short-term outcome of open reduction by medial approach in terms of function, joint reduction, and avascular necrosis. Methods This was a Descriptive study approved by the institutional review board. We performed open reduction by medial approach in 24 hips in children less than 18 months of age. We followed them for a mean of 32 months ± 10.5 months. The average age of surgery was 9.7 months ± 3.5 months. Results Out of 24 hips, 22 were successfully reduced and two hips required revision surgery for post-operative redislocation of the hip joint. Avascular necrosis was noted in three hips and functionally classified according to McKay criteria 22 hips showed excellent one hip good, and one hip fair outcome. Conclusion We concluded that the medial approach is effective and reliable in achieving good short-term outcomes. It is safe and easy with a low rate of complications performed in children less than 18 months of age. Keywords: development dysplasia of hip joint, DDH, medial approach, open reduction, short-term follow-up, Avascular necrosis.