{"id":"https://openalex.org/W2253983299","doi":"https://doi.org/10.1016/j.artd.2015.12.004","title":"Bilateral pelvic discontinuity: a unique condition characterized by high failure rates of current treatment","display_name":"Bilateral pelvic discontinuity: a unique condition characterized by high failure rates of current treatment","publication_year":2016,"publication_date":"2016-02-01","ids":{"openalex":"https://openalex.org/W2253983299","doi":"https://doi.org/10.1016/j.artd.2015.12.004","mag":"2253983299","pmid":"https://pubmed.ncbi.nlm.nih.gov/28326425","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/5247510"},"language":"en","primary_location":{"id":"doi:10.1016/j.artd.2015.12.004","doi":"https://doi.org/10.1016/j.artd.2015.12.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.artd.2015.12.004","pdf_url":"http://www.arthroplastytoday.org/article/S2352344115001119/pdf","source":{"id":"https://openalex.org/S2764917330","display_name":"Arthroplasty Today","issn_l":"2352-3441","issn":["2352-3441"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroplasty Today","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://www.arthroplastytoday.org/article/S2352344115001119/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003622584","display_name":"John Ryan Martin","orcid":"https://orcid.org/0000-0002-4125-2154","observed_orcids":["https://orcid.org/0000-0002-4125-2154","https://orcid.org/0000-0002-1360-1724"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John R. Martin","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013546569","display_name":"Ian J. Barrett","orcid":"https://orcid.org/0000-0003-1965-8120","observed_orcids":["https://orcid.org/0000-0003-1965-8120"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ian Barrett","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":"https://orcid.org/0000-0003-1965-8120","affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031608576","display_name":"Rafael J. Sierra","orcid":"https://orcid.org/0000-0002-8513-1477","observed_orcids":["https://orcid.org/0000-0002-8513-1477","https://orcid.org/0000-0001-7970-3769"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rafael J. Sierra","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082473575","display_name":"David G. Lewallen","orcid":"https://orcid.org/0000-0003-3101-9129","observed_orcids":["https://orcid.org/0000-0003-3101-9129"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David G. Lewallen","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032076466","display_name":"Daniel J. Berry","orcid":"https://orcid.org/0000-0003-1422-0306","observed_orcids":["https://orcid.org/0000-0003-1422-0306"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Daniel J. Berry","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5032076466"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":{"value":2500,"currency":"USD","value_usd":2500},"apc_paid":{"value":2500,"currency":"USD","value_usd":2500},"fwci":1.1078,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.78401879,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"2","issue":"4","first_page":"183","last_page":"186"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/revision-total-hip-arthroplasty","display_name":"revision total hip arthroplasty","score":0.9800000190734863},{"id":"https://openalex.org/keywords/pelvic-reconstruction","display_name":"pelvic reconstruction","score":0.800000011920929},{"id":"https://openalex.org/keywords/bone-loss","display_name":"bone loss","score":0.4950000047683716},{"id":"https://openalex.org/keywords/fracture","display_name":"fracture","score":0.5519999861717224},{"id":"https://openalex.org/keywords/treatment-failure","display_name":"treatment failure","score":0.6259999871253967},{"id":"https://openalex.org/keywords/radiographic-healing","display_name":"radiographic healing","score":0.5630000233650208}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9555751085281372},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.8104696273803711},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.6696513891220093},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6331914663314819},{"id":"https://openalex.org/C2777545690","wikidata":"https://www.wikidata.org/wiki/Q813680","display_name":"Pelvic fracture","level":3,"score":0.41645103693008423},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3698861598968506}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1016/j.artd.2015.12.004","doi":"https://doi.org/10.1016/j.artd.2015.12.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.artd.2015.12.004","pdf_url":"http://www.arthroplastytoday.org/article/S2352344115001119/pdf","source":{"id":"https://openalex.org/S2764917330","display_name":"Arthroplasty Today","issn_l":"2352-3441","issn":["2352-3441"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroplasty Today","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4207739","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5247510","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5247510","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5247510","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroplasty Today","raw_type":"Text"},{"id":"pmid:28326425","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28326425","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroplasty today","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:c649746807c146adaeb2f14ff60c3094","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c649746807c146adaeb2f14ff60c3094","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Arthroplasty Today, Vol 2, Iss 4, Pp 183-186 (2016)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.artd.2015.12.004","doi":"https://doi.org/10.1016/j.artd.2015.12.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.artd.2015.12.004","pdf_url":"http://www.arthroplastytoday.org/article/S2352344115001119/pdf","source":{"id":"https://openalex.org/S2764917330","display_name":"Arthroplasty Today","issn_l":"2352-3441","issn":["2352-3441"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroplasty Today","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2253983299.pdf","grobid_xml":"https://content.openalex.org/works/W2253983299.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W1968578416","https://openalex.org/W1969163769","https://openalex.org/W2000172594","https://openalex.org/W2128468107","https://openalex.org/W2129096663","https://openalex.org/W2145829389","https://openalex.org/W2152089840","https://openalex.org/W2172303349"],"related_works":["https://openalex.org/W2611460849","https://openalex.org/W752519426","https://openalex.org/W2406742870","https://openalex.org/W2128468107","https://openalex.org/W3174918451","https://openalex.org/W4391666146","https://openalex.org/W4410088779","https://openalex.org/W2025261369","https://openalex.org/W4399153955","https://openalex.org/W7125800938"],"abstract_inverted_index":{"BACKGROUND:":[0],"Bilateral":[1,201],"pelvic":[2,67,80,202,232],"discontinuity":[3,35,68,203],"is":[4,24,204],"characterized":[5],"by":[6,249],"complete":[7],"dissociation":[8,109,233],"of":[9,33,53,66,107,116,134,137,144,171,229,245],"the":[10,31,51,105,108,132,135,145,208,230,237,246],"superior":[11],"and":[12,50,93,96,102,110,114,160,166,252],"inferior":[13,28],"pelvis":[14,29],"secondary":[15],"to":[16,220,255],"bone":[17],"loss":[18],"or":[19],"fracture.":[20],"The":[21,151],"end":[22],"result":[23],"a":[25,38,211],"freely":[26],"mobile":[27],"at":[30,74,175],"level":[32],"each":[34],"which":[36],"presents":[37,207],"significant":[39],"reconstruction":[40],"challenge.":[41,214],"This":[42],"clinical":[43],"entity":[44],"has":[45],"not":[46,57],"been":[47],"described":[48],"previously,":[49],"results":[52],"surgical":[54],"treatment":[55,225],"are":[56],"known.":[58],"METHODS:":[59],"We":[60,77],"retrospectively":[61],"reviewed":[62,100],"all":[63],"identified":[64,78],"cases":[65],"(PD)":[69],"treated":[70],"with":[71,197,210,223],"revision":[72],"THA":[73],"one":[75],"institution.":[76],"133":[79],"discontinuities.":[81],"Within":[82],"this":[83,250],"group,":[84],"6":[85],"patients":[86,130],"had":[87,174,187,193],"bilateral":[88],"simultaneous":[89],"PDs.":[90],"Preoperative,":[91],"intraoperative,":[92],"postoperative":[94],"data":[95],"radiographic":[97,188,221],"imaging":[98],"were":[99,122],"preoperatively":[101],"postoperatively":[103],"for":[104,236],"characteristics":[106],"assessing":[111],"PD":[112],"healing":[113,222],"fixation":[115],"components":[117],"after":[118],"surgery.":[119],"RESULTS:":[120],"There":[121],"no":[123],"preoperative":[124],"factors":[125],"that":[126,190],"could":[127],"distinguish":[128],"these":[129],"from":[131],"rest":[133],"group":[136],"discontinuities":[138,192],"(3":[139],"rheumatoid":[140],"arthritis,":[141],"2":[142,155,167],"osteonecrosis":[143],"femoral":[146],"head,":[147],"1":[148,177,184,216],"developmental":[149],"dysplasia).":[150],"reconstructions":[152],"performed":[153],"included":[154],"cup/cage,":[156],"5":[157],"posterior":[158],"plating":[159],"uncemented":[161,198],"cup,":[162],"3":[163],"cage":[164],"alone,":[165],"cups":[168],"only.":[169],"Ten":[170],"12":[172],"hips":[173],"least":[176],"complication":[178],"postoperatively.":[179],"At":[180],"final":[181],"follow-up,":[182],"only":[183],"patient":[185,217],"(17%)":[186],"evidence":[189],"both":[191],"healed":[194],"(posterior":[195],"plate":[196],"cup).":[199],"CONCLUSIONS:":[200],"rare":[205],"but":[206],"surgeon":[209],"major":[212],"reconstructive":[213],"Only":[215],"went":[218],"on":[219],"current":[224],"strategies.":[226],"Continued":[227],"motion":[228],"contralateral":[231],"may":[234],"account":[235],"high":[238],"failure":[239],"rates.":[240],"Surgeons":[241],"should":[242],"be":[243],"aware":[244],"challenges":[247],"presented":[248],"diagnosis":[251],"develop":[253],"strategies":[254],"improve":[256],"outcomes.":[257]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}
