{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:35Z","timestamp":1787755535030,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 present 3 patients (a 19-year-old man, a 37-year-old woman, and a 66-year-old woman) with chronic high hip dislocation and severe limb length discrepancy, managed with gradual soft tissue distraction using a motorized intramedullary nail and a temporary cup before total hip arthroplasty. All patients had at least 1 year of follow-up. Complications included transient foot drop (resolved), and 1 case of early infection and persistent foot drop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This approach facilitates near-anatomical cup positioning without osteotomy but still carries risks. Further refinement, including shear wave elastography ultrasound monitoring of the ischial nerve, may reduce complications and improve the method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00329","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T19:00:25Z","timestamp":1769713225000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Distalization with Motorized Intramedullary Nail for High Dislocation of the Hip Before Arthroplasty"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5545-5592","authenticated-orcid":false,"given":"Mathias","family":"Mosfeldt","sequence":"first","affiliation":[{"name":"Orthopedic Department, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2342-6595","authenticated-orcid":false,"given":"Harald","family":"Brismar","sequence":"additional","affiliation":[{"name":"Orthopedic Department, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4912-4314","authenticated-orcid":false,"given":"Richard","family":"Wallensten","sequence":"additional","affiliation":[{"name":"Orthopedic Department, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5904-1865","authenticated-orcid":false,"given":"Henrik","family":"Lundblad","sequence":"additional","affiliation":[{"name":"Orthopedic Department, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"4","key":"bib1-20260129","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1302\/0301-620X.87B4.16080","article-title":"Reduction of high dislocation of the hip using a distraction nail before arthroplasty","volume":"87","author":"Baumgart","year":"2005","journal-title":"J Bone Joint Surg Br."},{"key":"bib2-20260129","doi-asserted-by":"crossref","first-page":"101257","DOI":"10.1016\/j.artd.2023.101257","article-title":"Reduction of high hip dislocation with a distraction nail and arthroplasty (preliminary results of a novel technique)","volume":"24","author":"Baumgart","year":"2023","journal-title":"Arthroplast Today."},{"issue":"3","key":"bib3-20260129","doi-asserted-by":"crossref","first-page":"169","DOI":"10.14366\/usg.23211","article-title":"Using ultrasound shear wave elastography to characterize peripheral nerve mechanics: a systematic review on the normative reference values in healthy individuals","volume":"43","author":"Neto","year":"2024","journal-title":"Ultrasonography."},{"issue":"1","key":"bib4-20260129","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.jor.2018.12.005","article-title":"Subtrochanteric shortening and uncemented arthroplasty in hips with high dislocation - a cohort study with 13-30 years follow-up","volume":"16","author":"Vreim Holm","year":"2019","journal-title":"J Orthop."},{"issue":"5","key":"bib5-20260129","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/BPO.0000000000002120","article-title":"Femoral lengthening in children: a comparison of motorized intramedullary nailing versus external fixation techniques","volume":"42","author":"Tillotson","year":"2022","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib6-20260129","doi-asserted-by":"crossref","first-page":"248","DOI":"10.3109\/17453674.2014.960647","article-title":"Femoral lengthening with a motorized intramedullary nail","volume":"86","author":"Horn","year":"2015","journal-title":"Acta Orthop."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:38Z","timestamp":1787751878000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00329"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00329","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}