{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:01:02Z","timestamp":1786640462614,"version":"build-2736575974"},"reference-count":26,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2015,3,1]],"date-time":"2015-03-01T00:00:00Z","timestamp":1425168000000},"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":[[2015,3]]},"abstract":"<jats:p> We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p\u00a0=\u00a00.018). <\/jats:p><jats:p> This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:405\u201311. <\/jats:p>","DOI":"10.1302\/0301-620x.97b3.34287","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T10:51:12Z","timestamp":1425379872000},"page":"405-411","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":15,"title":["Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip"],"prefix":"10.1302","volume":"97-B","author":[{"given":"K.","family":"Fukiage","sequence":"first","affiliation":[{"name":"Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga\rPref., 524-0022, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Futami","sequence":"additional","affiliation":[{"name":"Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga\rPref., 524-0022, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Ogi","sequence":"additional","affiliation":[{"name":"Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga\rPref., 524-0022, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Harada","sequence":"additional","affiliation":[{"name":"Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga\rPref., 524-0022, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Shimozono","sequence":"additional","affiliation":[{"name":"Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga\rPref., 524-0022, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Kashiwagi","sequence":"additional","affiliation":[{"name":"SKY Orthopaedic Clinic, 10-1, Futaba-cho, Ibaraki, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Takase","sequence":"additional","affiliation":[{"name":"Takase Orthopaedic Clinic, 7-3, Misasagikamigobyono-cho, Yamashina, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Mizuno memorial hospital, 6-32-10, Nishiarai, Adachiku, Tokyo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198801000-00001"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-013-0432-z"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B8.21692"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199412000-00004"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198801000-00004"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1929-4"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B6.0780924"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B7.20041"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31829b2d8b"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01414"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B4.0780631"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B3.8175854"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199710000-00004"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668010-00010"},{"key":"r15","first-page":"6","volume":"119","author":"Ortolani M","year":"1976","journal-title":"Clin Orthop"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B3.8496228"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000001"},{"key":"r18","first-page":"421","volume":"49","author":"Yamamuro T","year":"1975","journal-title":"J Jpn Orthop Assoc"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B6.14441"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00002"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072070-00014"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpb.0000248567.49089.f0"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1587-5"},{"key":"r24","first-page":"44","volume":"12","author":"Salter RB","year":"1969","journal-title":"Can J Surg"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B2.18057"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200302000-00009"}],"container-title":["The Bone &amp; 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