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Dislocation after THA — Risk Factors & Management

Incidence 1–3% after primary THA; higher in revision. Risk factors: posterior approach, malpositioned cup (anteversion 25°, inclination >60°). Patient factors: neuromuscular disease, dementia, noncompliance. Management: closed reduction, bracing; revision for recurrent instability. Prevention: proper cup position, posterior repair, large femoral heads.