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Inferior prosthetic hip dislocation requiring revision: A case report
Alexander Burbelo1, William Stone1, Liam Cleary2
1Marshall University, Joan C. Edwards School of Medicine, 1600 Medical Center Dr, 25701 Huntington, WV, USA.
Introduction And Importance:
Total hip arthroplasty (THA) is a highly successful orthopaedic procedure performed for various indications. While rare, complications such as dislocation do occur. We present the case of a 59-year-old female who had a late inferior hip dislocation after a traumatic fall.
Presentation Of Case:
The patient who had a recent THA for femoral neck fracture experienced an incarcerated inferior prosthetic dislocation following mechanical fall. Revision surgical intervention yielded satisfactory stability, but patient noncompliance led to a subsequent dislocation, requiring another revision surgery. Despite failed attempts at closed reduction, a constrained acetabular liner was successfully implemented, resulting in a stable THA.
Clinical Discussion:
This case underscores the complexities of managing inferior hip dislocations, particularly the importance of patient adherence to post-operative care and the need for tailored surgical approaches.
Conclusion:
Further investigation into long-term outcomes associated with constrained liners in revision THA is warranted, as well as strategies to enhance patient compliance to mitigate complications.
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