Convalescent Rehabilitation after Hemiarthroplasty for a Displaced Femoral Neck Fracture in a Sexually Active Older Adult Gay Man

Abstract

Background: Our patients include individuals who are lesbian, gay, bisexual, and transgender and comprise between 0.5% and 10% of the total population. Case Presentation: A 79-year-old man was transferred to our convalescent rehabilitation ward after undergoing hemiarthroplasty (HA) to treat a right-sided displaced femoral neck fracture. His rehabilitation protocol included strengthening of the lower limb muscles; balance, gait, and endurance exercises; and activities of daily living (ADL) training. Because he was a sexually active gay man who engaged in receptive anal intercourse (RAI), we also recommended positions for sexual intercourse to prevent dislocation. Discussion and Conclusion: Dislocation is a serious complication after HA and total hip arthroplasty (THA) that may be induced by sexual intercourse in elderly patients. In convalescent rehabilitation, guidance regarding sexual activity should be provided to all patients undergoing HA and/or THA to prevent dislocation, regardless of their age and sex. In men undergoing HA and/or THA, sexual positions of both men and women