Anesthetic Strategies for Closed Reduction of Dislocated Total Hip Arthroplasty: A Scoping Review
Authors' conclusion
A wide range of anesthetic strategies for reduction of dislocated THA were evaluated, with success rates varying considerably across studies. This review demonstrates a substantial gap in the literature regarding the anesthetic management of closed reduction of dislocated THA.
Study context
- Population
- Patients undergoing closed reduction of dislocated total hip arthroplasty (THA)22 studies analysed
- Comparison
- Sedation vs GA for closed reduction of dislocated THA
- Outcome
- Closed reduction success rate
Methodological detailssystematic literature search, two independent reviewers, 57 studies included, no RCTs; case reports, case letters, literature reviews, group interviews and surveys excluded for risk of selection bias, leaving 22
- Systematic literature search
- Two independent reviewers
- 57 studies included, no RCTs; case reports, case letters, literature reviews, group interviews and surveys excluded for risk of selection bias, leaving 22
Main finding
As reported in the abstract
Sedation
81%
median · IQR 77%–92%
General anesthesia
95%
median · IQR 60%–96%
Further findings
Time from admission to procedure
LOS
Safety
Complications
- Infrequently and inconsistently reported
Original publication
Anesthetic Strategies for Closed Reduction of Dislocated Total Hip Arthroplasty: A Scoping Review. Acta Anaesthesiol Scand. Published 25 January 2026. doi:10. 1111/ aas. 70189
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