A, Preoperative image demonstrating bilateral hip dislocations in a 2-year-old patient. B, Anteroposterior pelvic view after staged open reductions, capsulorrhaphies, primary femoral shortenings, and Pemberton acetabuloplasties using resection femoral segment for pelvic bone grafting. C, Postoperative anteroposterior pelvis after spica cast removal. D, Two-year follow-up view reveals healing and maintenance of hip reduction. Some residual dysplasia exists, particularly on the left hip. SEE TECHNIQUE 30.9.