{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:32:47Z","timestamp":1789864367208,"version":"4.0.1"},"reference-count":35,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p>We have studied the natural history of a first episode of dislocation after primary total hip replacement (THR) to clarify the incidence of recurrent dislocation, the need for subsequent revision and the quality of life of these patients.<\/jats:p>\n                  <jats:p>Over a six-year period, 99 patients (101 hips) presented with a first dislocation of a primary THR. A total of 61 hips (60.4%) had dislocated more than once. After a minimum follow-up of one year, seven patients had died. Of the remaining 94 hips (92 patients), 47 underwent a revision for instability and one awaits operation (51% in total). Of these, seven re-dislocated and four needed further surgery. The quality of life of the patients was studied using the Oxford Hip Score and the EuroQol-5 Dimension (EQ-5D) questionnaire. A control group of patients who had not dislocated was also studied. At a mean follow-up of 4.5 years (1 to 20), the mean Oxford Hip Score was 26.7 (15 to 47) after one episode of dislocation, 27.2 (12 to 45) after recurrent dislocation, 34.5 (12 to 54) after successful revision surgery, 42 (29 to 55) after failed revision surgery and 17.4 (12 to 32) in the control group. The EuroQol-5 dimension questionnaire revealed more health problems in patients undergoing revision surgery.<\/jats:p>","DOI":"10.1302\/0301-620x.91b3.21274","type":"journal-article","created":{"date-parts":[[2009,3,3]],"date-time":"2009-03-03T17:48:56Z","timestamp":1236102536000},"page":"321-326","source":"Crossref","is-referenced-by-count":117,"title":["Outcome of treatment for dislocation after primary total hip replacement"],"prefix":"10.1302","volume":"91-B","author":[{"given":"R. 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A.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff CF14 4XW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264090-00004"},{"key":"R2","unstructured":"Mahoney CR, Pellicci PM.\n                      Complications in primary total hip arthroplasty: avoidance and management of dislocations. Instr Course Lect 2003;52:247\u201355."},{"key":"R3","unstructured":"Morrey BF.\n                      Dislocation. In: Morrey BF, An KN, ed.\n                      Reconstructive surgery of the joints\n                      . Second edition. Edinburgh: Churchill-Livingstone, 1996:1247."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.63B2.7217144"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2004.02.041"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.02.168"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1007\/s004020050406"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90070-5"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70225-X"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90011-6"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.06.003"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Chandler RW, Dorr LD, Perry J.\n                      The functional cost of dislocation following total hip arthroplasty. 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