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Case Presentation: A 79-year-old man with several general medical comorbidities referred to ourorthopaedic Unit with dislocation, infection and periprosthetic fracture of a long-stem hip hemiarthroplasty.Results: A one-stage revision was performed using a dual mobility cup and a standard modular-neck stem,both fixed with antibiotic-loaded cement.Conclusion: Hip replacement is a common treatment for femoral neck fractures in the elderly populationwith a significant improvement in the quality of life of patients. Local complications can lead to pooroutcomes. The simultaneous presence of dislocation, infection and periprosthetic fracture is a challenge oftreatment for the surgeon and the frailty of the patients get this scenario even worse. Every attempt must bedriven toward a safe and time-preserving “single-shot” procedure.

Hat-Trick: On a Case of Hip Replacement Complicated by Dislocation and Infection and Periprosthetic Fracture