Dislocation in in bipolar of 3 weeks duration

76 year old female presented with dislocated bipolar of 3 weeks duration. she is asa gr 3, memory loss and is a household ambulator. The dislocation occured while sitting on the toilet

The lesser trochanter appears more prominent

Possible causes in general for dislocation

Inadequate Offset

abnormal version and impingement

Options

1. Closed reduction and abductor bracing

2.if found unstable at closed reduction the options

The cup has been medialised slightly and a capture cup inserted. Tripolar cup was not available at present. the problems include cup loosening and  disimpaction of the head neck junction