article = {SCR-2020-4-107} title = {Hat-Trick: On a Case of Hip Replacement Complicated by Dislocation and Infection and Periprosthetic Fracture} journal = {Surgical Case Reports} year = {2020} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2020.04.07} url = {https://www.sciencerepository.org/hat-trick-on-a-case-of-hip-replacement_SCR-2020-4-107 author = {Antonio Virgilio,Biagio Moretti,Francesco Maruccia,Giuseppe Solarino,Vito Belviso,} keywords = {Hip replacement, infection, dislocation, periprosthetic fracture} abstract ={Case Presentation: A 79-year-old man with several general medical comorbidities referred to our orthopaedic Unit with dislocation, infection and periprosthetic fracture of a long-stem hip hemiarthroplasty. Results: A one-stage revision was performed using a dual mobility cup and a standard modular-neck stem, both fixed with antibiotic-loaded cement. Conclusion: Hip replacement is a common treatment for femoral neck fractures in the elderly population with a significant improvement in the quality of life of patients. Local complications can lead to poor outcomes. The simultaneous presence of dislocation, infection and periprosthetic fracture is a challenge of treatment for the surgeon and the frailty of the patients get this scenario even worse. Every attempt must be driven toward a safe and time-preserving “single-shot” procedure. }