TY - JOUR AR - SCR-2020-4-107 TI - Hat-Trick: On a Case of Hip Replacement Complicated by Dislocation and Infection and Periprosthetic Fracture AU - Antonio , Virgilio AU - Biagio , Moretti AU - Francesco , Maruccia AU - Giuseppe, Solarino AU - Vito , Belviso JO - Surgical Case Reports PY - 2020 DA - Fri 24, Apr 2020 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2020.04.07 UR - https://www.sciencerepository.org/hat-trick-on-a-case-of-hip-replacement_SCR-2020-4-107 KW - Hip replacement, infection, dislocation, periprosthetic fracture AB - 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.