elderly patient with bilateral THA. Multiple revisions on th | Figure 1

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Case Overview

elderly patient with bilateral THA. Multiple revisions on the right due to frequent total hip dislocation. Most recent revision last fall for placement of a constrained liner on the right. Presents to the ED today with pain and deformity to RLE. Interesting case because how often do you see a dislocation with a constrained liner in.


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84 yo F, Hx of right femoral head prosthesis after intracapsular femoral neck Fx about 1 month ago (fig 1). P/w right hip dislocation (fig 2). Reduction is performed in ER after which prosthetic bipolar head is dislocated (fig 3). Pt has to pay another visit to the OR for adequate repositioning (fig 4 post op).


73YF, Dislocation 6 wks after THA.


Dislocation of a previously done AM prosthesis for the hip


71 yo female with fall. Says "my right hip is dislocated." Hint: it's not. Multiple important findings here. Go for three.