{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:25Z","timestamp":1787755585837,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report two patients, a 43-year-old man and a 26-year-old woman, with bilateral absence of the upper extremity and severe hip osteoarthritis. The involved hip was the dominant extremity for both patients. Total hip arthroplasty (THA) was performed using a posterior approach with dual-mobility implants. Both patients report satisfactory outcomes including the ability to perform the significant range of motion required for daily activities such as toe-to-head motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with extreme range of motion requirements such as those affected with bilateral upper-limb amelia, a posterior THA with a dual-mobility implant may be safely and successfully performed to treat disabling hip osteoarthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00124","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T14:52:42Z","timestamp":1689951162000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Total Hip Arthroplasty in Patients with Bilateral Upper-Limb Amelia"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7059-1833","authenticated-orcid":false,"given":"Joseph T.","family":"Gibian","sequence":"first","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler R.","family":"Youngman","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7040-616X","authenticated-orcid":false,"given":"John C.","family":"Clohisy","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1002\/ajmg.c.30319","article-title":"Amelia: a multi-center descriptive epidemiologic study in a large dataset from the International Clearinghouse for Birth Defects Surveillance and Research, and overview of the literature","volume":"157","author":"Bermejo-S\u00e1nchez","year":"2011","journal-title":"Am J Med Genet C Semin Med Genet."},{"issue":"10","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"3546","DOI":"10.1007\/s00167-022-06928-1","article-title":"Understanding hip pathology in ballet dancers","volume":"30","author":"Singh","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"128","DOI":"10.2106\/JBJS.H.00155","article-title":"The epidemiology of revision total hip arthroplasty in the United States","volume":"91","author":"Bozic","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"82","DOI":"10.5301\/hipint.5000192","article-title":"Analysis of hip range of motion in everyday life: a pilot study","volume":"25","author":"Charbonnier","year":"2015","journal-title":"Hip Int."},{"issue":"3","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.bjpt.2017.03.012","article-title":"Hip, knee, and ankle kinematics during activities of daily living: a cross-sectional study","volume":"21","author":"Hyodo","year":"2017","journal-title":"Braz J Phys Ther."},{"key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/BLO.0b013e31815c5a64","article-title":"The importance of range of motion after total hip arthroplasty","volume":"465","author":"Davis","year":"2007","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1302\/0301-620X.100B1.BJJ-2017-0462.R1","article-title":"Outcomes of dual-mobility components in total hip arthroplasty: a systematic review of the literature","volume":"100-B","author":"Darrith","year":"2018","journal-title":"Bone Joint J."},{"issue":"2","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1302\/0301-620X.48B2.245","article-title":"Replacement of arthritic hips by the McKee-Farrar Prosthesis","volume":"48-B","author":"McKee","year":"1966","journal-title":"J bone Joint Surg Br."},{"issue":"10","key":"bib9-20240805","first-page":"473","article-title":"Dual-mobility acetabular components in total hip arthroplasty","volume":"42","author":"McArthur","year":"2013","journal-title":"Am J Orthop (Belle Mead NJ)."},{"issue":"15","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"5649","DOI":"10.1073\/pnas.83.15.5649","article-title":"Predicted conformations for the immunodominant region of the circumsporozoite protein of the human malaria parasite Plasmodium falciparum","volume":"83","author":"Gibson","year":"1986","journal-title":"Proc Natl Acad Sci U S A."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.artd.2021.01.005","article-title":"Bilateral total hip arthroplasty in the setting of developmental dysplasia of the hip and extreme hip flexion requirements due to phocomelia","volume":"8","author":"Patel","year":"2021","journal-title":"Arthroplast Today."},{"issue":"3","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.arth.2014.10.020","article-title":"Anterior vs. posterior approach for total hip arthroplasty, a systematic review and meta-analysis","volume":"30","author":"Higgins","year":"2015","journal-title":"J Arthroplasty."},{"issue":"11","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1001\/jama.2020.0785","article-title":"Association between surgical approach and major surgical complications in patients undergoing total hip arthroplasty","volume":"323","author":"Pincus","year":"2020","journal-title":"JAMA."},{"issue":"6","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1016\/j.arth.2020.01.033","article-title":"A comparison of risk of dislocation and cause-specific revision between direct anterior and posterior approach following elective cementless total hip arthroplasty","volume":"35","author":"Charney","year":"2020","journal-title":"J Arthroplasty."},{"issue":"12","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"3860","DOI":"10.1007\/s11999-015-4565-6","article-title":"What is the learning curve for the anterior approach for total hip arthroplasty?","volume":"473","author":"de Steiger","year":"2015","journal-title":"Clin Orthop Relat Res."},{"issue":"8","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"1971","DOI":"10.1007\/s00264-021-04986-7","article-title":"The learning curve for the direct anterior total hip arthroplasty: a systematic review","volume":"45","author":"Nairn","year":"2021","journal-title":"Int Orthop."},{"issue":"1","key":"bib17-20240805","first-page":"e131","article-title":"Defining the learning curve of anterior total hip arthroplasty after fellowship-specific training","volume":"30","author":"Burnham","year":"2022","journal-title":"J Am Acad Orthop Surg."}],"container-title":["JBJS Case 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