Preprosthesis fracture of femoral and loosening of the femoral prosthesis during closed reduction of hip dislocation: A case report

Abstract

Highlights This is the first reported case of a periprosthetic fracture of femoral and loosening of femoral prosthesis caused by closed reduction. Closed reduction leads to preprosthesis fracture of femoral and loosening of femoral prosthesis is a complex complication that requires operative treatment. Closed reduction should be performed gently to avoid this condition. If this happens, a high-resolution CT examination should be performed immediately to evaluate the fracture and the rotation of the prosthesis. In the case of dislocation after bipolar hip hemiarthroplasty in patients with Alzheimer's disease, we hypothesize that early wearing hip joint fixation to limit squat might help prevent this condition.

Fracture in the middle of the femoral stem and relevant treatment after the revision total hip arthroplasty: A case report

“…Simultaneously, excessive valgus could easily lead to dislocation of the prosthesis. Zeng et al [18] reported that closed manual reduction after dislocation would also cause some damage to the prosthesis. Therefore, imaging examination and reduction plan should be fully prepared before reduction.…”