{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:06:46Z","timestamp":1771337206798,"version":"3.50.1"},"reference-count":30,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2013,3,1]],"date-time":"2013-03-01T00:00:00Z","timestamp":1362096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p> Deficiency of the abductor mechanism is a well-recognised cause of pain and limping after total hip replacement (THR). This can be found incidentally at the time of surgery, or it may arise as a result of damage to the superior gluteal nerve intra-operatively, or after surgery owing to mechanical failure of the abductor muscle repair or its detachment from the greater trochanter. The incidence of abductor failure has been reported as high as 20% in some studies. The management of this condition remains a dilemma for the treating surgeon. We review the current state of knowledge concerning post-THR abductor deficiency, including the aetiology, diagnosis and management, and the outcomes of surgery for this condition. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:343\u20137. <\/jats:p>","DOI":"10.1302\/0301-620x.95b3.31098","type":"journal-article","created":{"date-parts":[[2013,2,28]],"date-time":"2013-02-28T17:47:06Z","timestamp":1362073626000},"page":"343-347","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":57,"title":["Management of abductor mechanism deficiency following total hip replacement"],"prefix":"10.1302","volume":"95-B","author":[{"given":"S.","family":"Odak","sequence":"first","affiliation":[{"name":"Arrowe Park Hospital, Arrowe\rPark Road, Wirral, Merseyside\rCH49 5PE, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ivory","sequence":"additional","affiliation":[{"name":"Great Western Hospital, Swindon, Wiltshire\rSN3 6BB, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(97)90067-X"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.12.010"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01011"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790618"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.19158"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.04.014"},{"key":"r7","first-page":"199","volume":"55","author":"Lievense A","year":"2005","journal-title":"Br J Gen Pract"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31819d6562"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2011.72.1.12"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1177\/112070000901900412"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.08.018"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B1.2915004"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.11.013"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200212000-00006"},{"key":"r15","unstructured":"Higgins JPT, Green S. 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