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The direction of dislocation reported was almost exclusively anterolateral.
In contrast, 87% of patients who underwent Ganz surgical dislocation reported an "excellent" outcome.
Of note, 5 of the 7 studies which investigated the Ganz dislocation reported a AVN rate of 0%.
Methods 126 patients (81 females) with primary patellar dislocation reported the knee position before the episode, the movement during it, and whether the patella was locked in dislocation.
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The three patients who did not experience actual re-dislocations reported subluxation or complained of subjective instability.
Although none of the eight extremities with a history of prior patellar dislocation had a recurrent dislocation, one patient with a history of multiple prior bilateral dislocations reported subluxation events in the patella on one side at 21-month follow-up.
Recurrent dislocations are common after traumatic anterior glenohumeral dislocation and age at the time of primary dislocation is reported to be the most important risk factor (Henry and Genung 1982, Hovelius et al. 1996, Kralinger et al. 2002).
We believe that all of the abovementioned reasons contribute to higher dislocation rates reported in our study compared to the dislocation rates reported by Kwon et al (2006).
We agree that dislocation rates reported in our study are higher that the 1.0% dislocation rate reported by Kwon et al. (2006).
Some hips dislocate more than once, and patients with recurrent dislocation have reported a worse outcome than after uncomplicated THA [4, 5].
Neglected dislocation of the shoulder is a rare condition with some cases of anterior and posterior dislocation being reported.
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