[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-449935-105":3,"doc-detail-449935-en":81,"detail-sidebar-cat-0-en-105":99},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","total-hip-arthroplasty-for-neglected-hip-dislocation-surgical-technique-and-results","Total Hip Arthroplasty for Neglected Hip Dislocation - Surgical Technique and Results","","Neglected posterior hip dislocation is a rare, difficult condition in which delayed presentation leads to soft-tissue contractures, altered acetabular anatomy, poor bone stock, and fibrous tissue formation, making reduction challenging. Total hip arthroplasty (THA) is often recommended for chronic cases despite technical risks. A 48-year-old man with 1.5-year neglected dislocation and marked deformity underwent planned cemented THR with backup reconstructive strategies. Stable fixation and restoration of limb length and function were achieved, supported by careful operative technique and management of encountered intraoperative issues.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/total-hip-arthroplasty-for-neglected-hip-dislocation-surgical-technique-and-results/449935/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/total-hip-arthroplasty-for-neglected-hip-dislocation-surgical-technique-and-results/449935.png","ImageObject",300,407,{"name":42,"@type":43},"pixelkiddo","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is reduction difficult in neglected posterior hip dislocation?","Question",{"text":63,"@type":64},"Delayed presentation produces soft-tissue contractures, poor bone stock, altered anatomy, and fibrous tissue formation in the acetabulum, which makes reduction challenging or even impossible.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What was the patient’s condition at presentation?",{"text":68,"@type":64},"A 48-year-old man had a 1.5-year neglected posterior hip dislocation with a 7 cm limb shortening and fixed flexion, adduction, and internal rotation deformity, along with imaging showing acetabular wall deformity and loss of articular cartilage.",{"name":70,"@type":61,"acceptedAnswer":71},"What approach and intraoperative plan were used during surgery?",{"text":72,"@type":64},"A cemented total hip replacement with a posterior strategy was planned, with backup options such as structural grafts, acetabular cages, dual mobility cups, and subtrochanteric osteotomy. Fibrous tissue and malformed acetabular walls were managed with careful dissection and gradual reaming, and an intraoperative medial calcar fracture was treated with cerclage wiring.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},449935,1790888977,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":4,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":92,"language":93,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":94,"faqs":95,"seo_title":96,"seo_description":12,"update_tm":97,"read_time":98,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658",7,"Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 157-162   \nTotal Hip Arthroplasty for Neglected Hip Dislocation – Surgical  \nTechnique and Results  \nAmrit Goyal ¹, Mayur Gupta¹, Avnish Kumar Mishra², Bhuvneshwar¹  \nLearning Point of the Article:  \nRegular follow-up after closed reduction is essential to ensure maintenance of reduction, alignment, detect early dislocation, and guide  \ntimely modification of immobilization or rehabilitation.  \nAbstract  \nIntroduction: A rare but difficult condition to treat is neglected posterior dislocation of the hip. A delayed presentation results in soft-tissue contractures, poor bone stock, altered anatomy, and fibrous tissueformation in theacetabulum, all ofwhich make reduction challenging. Despite the considerable risks and technical difficulties, total hip arthroplasty (THA) is frequently the recommended course of treatment in such chronic cases.  \nCase Report: We report the case of a 48-year-old man who had a 1.5-year-old posterior hip dislocation that had been neglected. After undergoing closed reduction and skin traction at a nearby hospital, the patient experienced a secondary displacement shortly after being released. He was treated conservatively at several local centers since he lacked access to definitive care. The patient had a 7 cm limb shortening with fixed flexion, adduction, and internal rotation deformity when they arrived at our facility. Imaging showed a deformed anterior wall, a fragmented posterior acetabular wall, anda femoral head with total loss ofarticular cartilage.  \nSurgical Procedure: A total hip replacement (THR) using cement was planned, and several backup plans, such as structural grafts, acetabular cages, dual mobility cups, and subtrochantericosteotomy, were readyfor any intraoperative difficulties. A posterior strategywas applied. Fibrous tissue and malformed bony walls covered the acetabulum; tomedialize and stabilize the cup, careful dissection and gradual reaming were done. Osteotomy was performed on the femoral head. Amedial calcar fracture was discovered during surgery, and cerclage wiring was used to treat it. Theimplant was a cemented stem with a highly porous acetabular cup.  \nResults: Recovery from surgery went smoothly. The patient’slimb length and functionwere restored alongwith astablehip fixation.  \nDiscussion: In developing nations, where delayed presentation is common due to limited orthopedic access and reliance on traditional bone setters, neglected posterior hip dislocations with acetabular fractures present significant reconstructive challenges. In these situations, THR necessitates careful pre-operative planning, cautious intraoperative technique to prevent neurovascular damage, and methods to dealwith bone loss and soft-tissue contracture.  \nConclusion: THA, which providespain reliefand functional recovery, is the recommended treatment for chronic posterior hip dislocationwith acetabular involvement. However, because of its technical complexity, it requires carefulplanning and execution.  \nKeywords: Neglected posterior hip dislocation, totalhip arthroplasty, acetabular fracture, limb shortening, bone lossmanagement.  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6490](https://doi.org/10.13107/jocr.2025.v15.i12.6490) | Author’s Photo Gallery |  |  |  |\n| --- | --- | --- | --- | --- |\n|  | | | | |\n|  | \u003Cbr>1Department of Orthopaedics, SN Medical College, Agra, Uttar Pradesh, India,\u003Cbr>²Department of Orthopaedics, Maharshi Vishwamitra Autonomous State Medical College, Ghazipur, Uttar Pradesh, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Bhuvneshwar ,\u003Cbr>Department of Orthopaedics, New Surgery Building, SN Medical College, Agra-282002, Uttar Pradesh, India. [E-mail:](E-mail: bhuvneshwar7013@gmail.com)[ bhuvneshwar7013@gmail.com](E-mail: bhuvneshwar7013@gmail.com) |  |  |  |\n\nSubmitted: 20/09/2025; Review: 11/10/2025;","cbCaiq4LcQYkyU8W","https://ap.wps.com/l/cbCaiq4LcQYkyU8W","pdf",8770611,6,"English","# Introduction\n# Case Report\n# Surgical Procedure\n# Results\n# Discussion\n# Conclusion","[{\"question\":\"Why is reduction difficult in neglected posterior hip dislocation?\",\"answer\":\"Delayed presentation produces soft-tissue contractures, poor bone stock, altered anatomy, and fibrous tissue formation in the acetabulum, which makes reduction challenging or even impossible.\"},{\"question\":\"What was the patient’s condition at presentation?\",\"answer\":\"A 48-year-old man had a 1.5-year neglected posterior hip dislocation with a 7 cm limb shortening and fixed flexion, adduction, and internal rotation deformity, along with imaging showing acetabular wall deformity and loss of articular cartilage.\"},{\"question\":\"What approach and intraoperative plan were used during surgery?\",\"answer\":\"A cemented total hip replacement with a posterior strategy was planned, with backup options such as structural grafts, acetabular cages, dual mobility cups, and subtrochanteric osteotomy. Fibrous tissue and malformed acetabular walls were managed with careful dissection and gradual reaming, and an intraoperative medial calcar fracture was treated with cerclage wiring.\"}]","Total Hip Arthroplasty for Neglected Hip Dislocation - Surgical Technique and Results | PDF",1790731577,15,{"code":4,"msg":82,"data":100},[101,105,109,113,118,122,125,130,135,138,142],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},"Exam",70,"exam",{"id":114,"doc_module":4,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},5,"Comic",60,"comic",{"id":92,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},"Technology",50,"technology",{"id":86,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":123,"slug":124},40,"healthcare",{"id":126,"doc_module":4,"doc_module_name":25,"category_name":127,"show_sort_weight":128,"slug":129},8,"Research & Report",30,"research-report",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":132,"show_sort_weight":133,"slug":134},9,"Religion & Spirituality",20,"religion-spirituality",{"id":133,"doc_module":4,"doc_module_name":25,"category_name":136,"show_sort_weight":133,"slug":137},"World Cup","world-cup",{"id":139,"doc_module":4,"doc_module_name":25,"category_name":140,"show_sort_weight":139,"slug":141},10,"Lifestyle","lifestyle",{"id":143,"doc_module":4,"doc_module_name":25,"category_name":144,"show_sort_weight":114,"slug":145},19,"General","general"]