Antonio  Virgilio,Biagio  Moretti,Francesco  Maruccia,Giuseppe Solarino,Vito  Belviso,
Hat-Trick: On a Case of Hip Replacement Complicated by Dislocation and Infection and Periprosthetic Fracture
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.04.07
https://www.sciencerepository.org/hat-trick-on-a-case-of-hip-replacement_SCR-2020-4-107 
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.
Keywords: Hip replacement, infection, dislocation, periprosthetic fracture