{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:24:41Z","timestamp":1759335881118},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,4,6]],"date-time":"2015-04-06T00:00:00Z","timestamp":1428278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We provide a review of literature on reduction techniques for posterior hip dislocations and present our experience with a novel technique for the reduction of acute posterior hip dislocations in the ED, \u2018the rocket launcher\u2019 technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present our results with six patients with prosthetic posterior hip dislocation treated in our rural ED. We recorded patient demographics. The technique involves placing the patient's knee over the shoulder, and holding the lower leg like a \u2018Rocket Launcher\u2019 allow the physician's shoulder to work as a fulcrum, in an ergonomically friendly manner for the reducer. We used Fisher's <jats:italic>t<\/jats:italic>\u2010test for cohort analysis between reduction techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of our patients, the mean age was 74 years (range 66 to 85 years). We had a 83% success rate. The one patient who the \u2018rocket launcher\u2019 failed in, was a hemi\u2010arthroplasty patient who also failed all other closed techniques and needed open reduction. When compared with <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>llis (62% success rate), <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>histler (60% success rate) and <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aptain <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>organ (92% success rate) techniques, there was no statistically significant difference in the successfulness of the reduction techniques. There were no neurovascular or periprosthetic complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We have described a reduction technique for posterior hip dislocations. Placing the patient's knee over the shoulder, and holding the lower leg like a \u2018Rocket Launcher\u2019 allow the physician's shoulder to work as a fulcrum, thus mechanically and ergonomically superior to standard techniques.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12392","type":"journal-article","created":{"date-parts":[[2015,4,7]],"date-time":"2015-04-07T02:23:30Z","timestamp":1428373410000},"page":"192-195","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Rocket launcher: A novel reduction technique for posterior hip dislocations and review of current literature"],"prefix":"10.1111","volume":"27","author":[{"given":"Michael","family":"Dan","sequence":"first","affiliation":[{"name":"Emergency Department Maitland Hospital  Maitland New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred","family":"Phillips","sequence":"additional","affiliation":[{"name":"Orthopaedics Department Gold Coast Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Simonian","sequence":"additional","affiliation":[{"name":"Emergency Department Maitland Hospital  Maitland New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Flannagan","sequence":"additional","affiliation":[{"name":"Emergency Department Maitland Hospital  Maitland New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,6]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"An Inquiry Into the Difficulties Encountered in the Reduction of Dislocations of the Hip","author":"Allis OH","year":"1896"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)43952-9"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.07.010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(99)00003-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.011809"},{"key":"e_1_2_8_7_1","volume-title":"Exposures in Orthopaedics: the Anatomic Approach","author":"Hoppenfeld SP","year":"2009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200303000-00003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200008000-00006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2005.00778.x"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1742-6723.12392","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.12392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:48:21Z","timestamp":1695548901000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.12392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,6]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1111\/1742-6723.12392"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.12392","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,6]]},"assertion":[{"value":"2015-02-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}