Inferior prosthetic hip dislocation requiring revision: A case report.

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.