Abstract: In this study, we clinically and radiographically evaluated open reduction with shortening of the femur in children more than 1 year old with refractory congenital dislocation of the hip. In 19 children (aged 14 years), 22 joints were operated on. The patients were followed-up for an average of 8.7 years (range, 213 years). Functional results were satisfactory in all joints, and differences in limb length were not significant. Radiographically, good results (grades I and II) were obtained in 16 of the 22 joints, according to Severins criteria. This surgical procedure may be indispensable for treating refractory congenital dislocation of the hip in children over 1 year old.