{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:54:33Z","timestamp":1791035673529,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Total hip arthroplasty (THA) is a complex intervention for patients with Crowe 3\u20134 high hip dislocations (HHD). The impact of age on outcomes in this patient group remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The current study evaluates short- to mid-term outcomes of THA in patients younger and older than 60\u2009years, focusing on complication rates, clinical outcomes, and implant survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective cohort study was conducted on 77 patients with HHD (Crowe 3\u20134) who underwent cementless THA. Patients were stratified into 2 age groups: &lt;60\u2009years (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200943) and \u2a7e60\u2009years (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200934). Outcomes assessed included Harris Hip Score (HHS), complications, and revision-free survival. Kaplan-Meier and Cox proportional hazards analyses were employed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Older patients had significantly higher complication rates (20.6% vs. 4.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.045), primarily due to deep vein thrombosis (DVT) (11.8% vs. none,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.045). However, complication rates were comparable between unilateral (14.9%) and staged bilateral THA (16.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.789). Cox regression identified ASA Class\n                      <jats:bold>3<\/jats:bold>\n                      as an independent predictor of complications (HR 1.89,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.043), while age and procedure type were not significant. Functional outcomes, including HHS and SF-36 scores, improved significantly in both groups without age-related differences. Kaplan-Meier survival analysis showed similar revision-free survival rates between age groups at 2\u2009years (95.3% vs. 91.2%) and 3\u2009years (92.1% vs. 88.5%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.287).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Age does not independently predict revision or inferior functional outcomes following THA in HHD. Higher complication rates in older patients are primarily attributed to comorbidities. Appropriate perioperative management ensures comparable long-term outcomes regardless of age, emphasing the importance of addressing comorbidities over chronological age in candidate selection for THA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261485833","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:42:59Z","timestamp":1790750579000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Short- to mid-term outcomes of total hip arthroplasty in high hip dislocations: does age matter?"],"prefix":"10.1177","author":[{"given":"Serdar Hakan","family":"Ba\u015faran","sequence":"first","affiliation":[{"name":"University of Health Sciences, Department of Orthopaedics and Traumatology, Bak\u0131rk\u00f6y Dr. Sadi Konuk Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdi","family":"\u0130mre","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Department of Orthopaedics and Traumatology, Bak\u0131rk\u00f6y Dr. Sadi Konuk Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8281-9885","authenticated-orcid":false,"given":"Mustafa","family":"Yal\u0131n","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Yalova University Faculty of Medicine, Yalova, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkan","family":"Bayrak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istinye University, Gaziosmanpa\u015fa Medical Park Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behl\u00fcl","family":"D\u00f6nmez","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Department of Orthopaedics and Traumatology, Bak\u0131rk\u00f6y Dr. Sadi Konuk Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erim","family":"Demircan","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Department of Orthopaedics and Traumatology, Bak\u0131rk\u00f6y Dr. Sadi Konuk Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05949-w"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-024-06115-6"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-019-0004-6"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2012.05.001"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.03.013"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-53"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B7.18482"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.08.044"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21594"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.3.454"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-7-13"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.10.923"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/41.11.1261"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.15417\/issn.1852-7434.2024.89.5.1966"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.04.027"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.09.032"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-04970-3"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03371-6"},{"key":"e_1_3_2_20_2","first-page":"623","article-title":"Patient-related risk factors that predict poor outcome after total hip replacement","volume":"31","author":"MacWilliam CH","year":"1996","unstructured":"MacWilliam CH, Yood MU, Verner JJ, et al. 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