Burbelo Alexander, Stone William, Cleary Liam, Bullock Matthew, Caughran Alexander
Marshall University, Joan C. Edwards School of Medicine, 1600 Medical Center Dr, 25701 Huntington, WV, USA.
Marshall University, Joan C. Edwards School of Medicine, 1600 Medical Center Dr, 25701 Huntington, WV, USA.
Int J Surg Case Rep. 2025 Sep;134:111710. doi: 10.1016/j.ijscr.2025.111710. Epub 2025 Jul 22.
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.
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.
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.
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.
全髋关节置换术（THA）是一种因各种适应症而实施的非常成功的骨科手术。虽然罕见，但诸如脱位等并发症确实会发生。我们报告一例59岁女性患者，在一次外伤跌倒后发生了晚期髋关节下方脱位。
该患者近期因股骨颈骨折接受了全髋关节置换术，在机械性跌倒后发生了嵌顿性髋关节下方假体脱位。翻修手术干预产生了令人满意的稳定性，但患者不依从导致随后再次脱位，需要再次进行翻修手术。尽管尝试闭合复位失败，但成功植入了限制性髋臼衬垫，从而实现了稳定的全髋关节置换。
该病例强调了处理髋关节下方脱位的复杂性，特别是患者坚持术后护理的重要性以及采用定制手术方法的必要性。
有必要进一步研究翻修全髋关节置换术中使用限制性衬垫的长期效果，以及提高患者依从性以减轻并发症的策略。
