Abstract:Developmental dysplasia of the hip (DDH) poses significant diagnostic challenges, hindering timely intervention. Current screening methodologies lack standardization, and AI-driven studies suffer from reproducibility issues due to limited data and code availability. To address these limitations, we introduce Retuve, an open-source framework for multi-modality DDH analysis, encompassing both ultrasound (US) and X-ray imaging. Retuve provides a complete and reproducible workflow, offering open datasets comprising expert-annotated US and X-ray images, pre-trained models with training code and weights, and a user-friendly Python Application Programming Interface (API). The framework integrates segmentation and landmark detection models, enabling automated measurement of key diagnostic parameters such as the alpha angle and acetabular index. By adhering to open-source principles, Retuve promotes transparency, collaboration, and accessibility in DDH research. This initiative has the potential to democratize DDH screening, facilitate early diagnosis, and ultimately improve patient outcomes by enabling widespread screening and early intervention. The GitHub repository/code can be found here: https://github.com/radoss-org/retuve