Intraprosthetic Dislocation of Dual-Mobility Bearings Associated with Closed Reduction

We present two patients with dual-mobility total hip arthroplasty components who underwent closed reduction of posterior dislocations with conscious sedation in the emergency room. Following closed reduction, both patients had immediate pain, clicking, and grinding of the hip. Radiographs identified intraprosthetic dislocation of the dual-mobility components, and revision surgery was required.

When dislocation of a dual-mobility bearing occurs, the surgeon should consider performing a careful closed reduction with muscle paralysis and use of fluoroscopic guidance in the operating room to avoid intraprosthetic dislocation.