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Use of an Ilizarov Apparatus to Perform Closed Reduction of a Chronic Proximal Dislocation Following Total Hip ArthroplastyA Case Report
R. Allen Butler, MD1; Joseph R. Hsu, MD2; Robert L. Barrack, MD3
1 Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, SL-32, New Orleans, LA 70112. E-mail address for R.A. Butler: allenbutler1@cox.net
2 Department of Orthopaedic Surgery, William Beaumont Army Medical Center, 5005 North Piedras Street, El Paso, TX 79920. E-mail address for J.R. Hsu: joe.hsu@us.army.mil
3 Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO 63110. E-mail address for R.L. Barrack: barrackr@wustl.edu
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The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at Tulane University Health Sciences Center, New Orleans, Louisiana

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Feb 01;88(2):411-414. doi: 10.2106/JBJS.E.00529
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Dislocation remains a major early perioperative complication of total hip arthroplasty, with a prevalence of 3.9% within the first six months as reported in a review of 58,521 patients in the Medicare population1. While the literature abounds with options for the treatment of recurrent dislocation after total hip arthroplasty, we are not aware of any report on the treatment of chronic proximal dislocation after total hip arthroplasty. We report the case of a patient in whom this complication was successfully treated with gradual closed reduction with use of an Ilizarov distraction technique. The patient was informed that data concerning this case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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