ArticleActa anaesthesiologica Scandinavica2026
Anesthetic Strategies for Closed Reduction of Dislocated Total Hip Arthroplasty: A Scoping Review.
Article in Acta anaesthesiologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal hip arthroplasty (THA) is a frequently performed orthopedic procedure, with dislocation being a common complication, often requiring closed reduction. Anesthetic strategies for this vary, and evidence on the efficacy, safety, and cost-effectiveness of current strategies is limited. The aim of this review was to synthesize the existing literature on anesthetic strategies for closed reduction of dislocated THA to identify best practice, organizational challenges and potential knowledge gaps.
methodsA scoping review was designed and conducted in accordance with current scoping review guidelines. Following a systematic literature search, two independent authors screened studies for eligibility and extracted data on key outcomes including procedural success, anesthetic techniques, hospital setting, intraprocedural complications, and resource use.
resultsFifty-seven studies were included with no randomized controlled trials being identified. Case reports, case letters, literature reviews, group interviews, and survey studies were excluded due to risk of selection bias, resulting in 22 remaining studies. Median closed reduction success rate was 81% (IQR 77%-92%) for sedation and 95% (IQR 60%-96%) for general anesthesia. Sedation in the emergency department with propofol had higher reduction success rates than sedation with other drugs. However, inconsistent definitions, variation in the use of anesthetic drugs and dosing, and small sample sizes limited comparability between studies. Time from admission to procedure was 2.25 h (IQR 2.0-2.95) for sedation and 7.6 h (IQR 5.3-9) for general anesthesia. Length of stay was 1.09 days (IQR 0.84-1.31) for sedation and 3 days (IQR 1.3-3.4) for general anesthesia. Complications were infrequently and inconsistently reported.
conclusionA 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. High-quality evidence is needed to inform and balance patient-relevant outcomes. EDITORIAL COMMENT: This scoping review presents an updated exploration of the considerations and alternatives for anesthetic management of cases for closed reduction of hip arthroplasty dislocation and closed reduction.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.