How to Treat a Dislocated Hip

He had a positive ordulani test on both hips at birth and was treated with the Pavlacharnus. Had poor compliance and was lost to follow up. He is now found to have a right hip dislocation that is unable to be reduced in the office. What is the recommended treatment? And the choices are 1, reapplication of the Pavlachesnus in the office or 2, application of hip abduction brace in the officeor 3, closed reduction in the operating room with hip abduction brace application. 4, closed Reduction in the Operating Room with a spica cast application. And 5, open reduction and spica castApplication. The correct answer for this question is 5