{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:59Z","timestamp":1787755499027,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,6,20]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Redislocation of the native hip is rare. An anterior fulcrum between the proximal part of the femur and the pelvis must be present for a posterior dislocation to occur. The purpose of this study is to describe the cases of 9 patients with posterior redislocation or recurrent subluxation of the native hip that was treated with hip preservation surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively identified the cases of 9 patients, from 2 institutions, who had undergone hip preservation surgery for the management of posterior redislocation or recurrent subluxation of the native hip after a dislocation. The mean number of dislocations prior to surgery was 3.2 (range, 1 to 7). Pelvic radiographs were used to classify the acetabular morphology, sufficiency of acetabular containment, and structural anatomy of the proximal part of the femur. Radiographic identification of impinging structures was used to guide surgical treatment, which involved either femoral correction alone or the combination of femoral correction and an anteverting periacetabular osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At a mean follow-up of 73.8 months (range, 10 to 192 months), there had been no subsequent episodes of dislocation or subluxation in any of the hips treated with correction of the anatomic pivot point. An algorithmic approach is presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In patients who have episodes of redislocation or recurrent subluxation of the native hip, the identification of anatomic abnormalities that create a fulcrum between the proximal part of the femur and the pelvis is critical for making appropriate treatment decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.01170","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T19:46:51Z","timestamp":1529524011000},"page":"1056-1063","source":"Crossref","is-referenced-by-count":9,"title":["Modern Surgical Treatment of Recurrent Posterior Dislocation of the Native Hip"],"prefix":"10.2106","volume":"100","author":[{"given":"Bayard C.","family":"Carlson","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas M.","family":"Desy","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert T.","family":"Trousdale","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Leunig","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, Schulthess Clinic, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhold","family":"Ganz","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, Schulthess Clinic, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8513-1477","authenticated-orcid":false,"given":"Rafael J.","family":"Sierra","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"6","key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"340","DOI":"10.5435\/00124635-201106000-00004","article-title":"Hip instability","volume":"19","author":"Boykin","year":"2011","journal-title":"J Am Acad Orthop Surg."},{"issue":"3","key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/01241398-198905000-00013","article-title":"Recurrent voluntary anterior dislocation of the hip: case report and review of the literature","volume":"9","author":"Beaty","year":"1989","journal-title":"J Pediatr Orthop."},{"issue":"155","key":"bib3-20230714","first-page":"41","article-title":"Bilateral habitual hip dislocation in a child with Down\u2019s syndrome: a case report","author":"Cristofaro","year":"1981","journal-title":"Clin Orthop Relat Res."},{"key":"bib4-20230714","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/1752-1947-5-106","article-title":"Recurrent spontaneous hip dislocation in a patient with neurofibromatosis type 1: a case report","volume":"5","author":"Galbraith","year":"2011","journal-title":"J Med Case Rep."},{"issue":"1","key":"bib5-20230714","first-page":"67","article-title":"Recurrent dislocation of the hip in a child with Down syndrome: a 20-year follow-up","volume":"8","author":"Gore","year":"1999","journal-title":"J South Orthop Assoc."},{"issue":"8","key":"bib6-20230714","first-page":"587","article-title":"Recurrent dislocation of the hip in adult paraplegics","volume":"30","author":"Graham","year":"1992","journal-title":"Paraplegia."},{"issue":"6","key":"bib7-20230714","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1097\/BPO.0b013e3182285fa5","article-title":"Femoral varus derotation osteotomy for the treatment of habitual subluxation and dislocation of the pediatric hip in trisomy 21: a 10-year experience","volume":"31","author":"Knight","year":"2011","journal-title":"J Pediatr Orthop."},{"issue":"1","key":"bib8-20230714","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.arthro.2015.07.021","article-title":"Does femoroacetabular impingement cause hip instability? 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