The Challenge of Managing Two Stage Total Hip Arthroplasty for Neglected Dislocation Hip in Young Patient: A Case Report

Background: The total hip arthroplasty (THA) procedure has been identified as a reliable treatment for high dislocations of the hip. A patient's optimal surgical treatment may vary depending on their unique circumstances. Femoral skeletal traction assists in the reduction and transient stabilization of pelvic, acetabular, hip, and femoral fractures when splinting is ineffective. This case report aimed to report two stage total hip Arthroplasty in neglected dislocation hip in a young male patient. Presentation of Case: A 24-year-old male presented with painful and swollen left hip. Patient history with septic arthritis and underwent femoral head excision procedure one year before admitted to hospital. Physical examination reveals surgery marks on the left hip, tenderness (-), Redness (-), LLD 5 cm, limited range of movement of the hip with external rotation position. X-Ray at left hip showed osteotomy at level of neck femur and acetabular roof destruction. Patient underwent two stage total hip Arthroplasty. Discussion: Managing a two-stage total hip arthroplasty for neglected dislocation hip in young patient is a complex and multifaceted challenge. Success hinges on thorough infection control, careful surgical planning, and patient-specific considerations to restore function and improve quality of life Conclusion: Two-stage THA for neglected dislocation hip in young patients can successfully improve quality of life. Keywords: Neglected Dislocation Hip, Distal Femoral Traction, Two-Stage Total Hip Arthroplasty