Does sagital alignment have a role

Dislocation in Thr post fracture neck of femur

Dislocation post THR in elderly is an issue which can be avoided by using larger head diameter, Tighter soft tissue with correct verical and horizontal offset. Good soft tissue repair is possible and may be avoid southern approaches The case below had stem sinkage causing lax soft tissue and retroverted acetabulum. A cemented stem to correct the vertical and horizontal offset and constriained liner was used as the posterior soft tissue were deficienct and patient was elderly.

Proximal bone loss in distal loading stem rt srom was revised due metal ions going up after 14 years. rt side was coc