What does this research mean for the field?

The Hana Table can be used for successful and safe closed reduction of anterior and posterior total hip dislocations, even when dislocation has persisted for up to 36 hours. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to evaluate the effectiveness of the Hana table for reducing anterior and posterior total hip dislocations after total hip arthroplasty.

March 14, 2026Arthroplasty Today0 citationsOpen Access

The Hana Table Can Be Used for Successful and Safe Closed Reduction of Anterior and Posterior Total Hip Dislocations, Even in Prolonged Dislocation up to 36 Hours

AJAnhadh JassalPhiladelphia College of Osteopathic Medicine CPChristian PrincesaSt. George's University KMKenny MaiAdventist Health Community Care-Hanford

Key Points

The aim is to evaluate the effectiveness of the Hana table for reducing anterior and posterior total hip dislocations after total hip arthroplasty.
Reviewed 6 cases of postoperative total hip arthroplasty dislocation, 3 anterior and 3 posterior.
Utilized the Hana fracture table for closed reduction in all cases.
Reduced dislocations under sedation and muscle relaxation, applying controlled traction and fluoroscopic guidance.
Closed reduction was successfully achieved in all cases without any complications.
All patients showed stable hip joints at follow-up periods between 6 months and 2 years.
No instances of recurrent dislocation were reported post-reduction.

Abstract

a b s t r a c t Total hip arthroplasty (THA) dislocation remains a significant postoperative complication, and traditional closed reduction techniques can require substantial force with a risk of iatrogenic injury.We present 6 cases of postoperative THA dislocation, including 3 anterior and 3 posterior dislocations, successfully managed using the Hana fracture table.Five patients had primary anterior approach THA, and 1 underwent THA conversion via a posterior approach.One anterior dislocation presented 36 hours after occurrence.All reductions were performed under adequate sedation and muscle relaxation with controlled traction and fluoroscopic guidance.Closed reduction was successful in all cases without intraoperative or postoperative complications.At final follow-up, ranging from 6 months to 2 years, all hips remained stable without recurrent dislocation, supporting this technique as a safe and reproducible alternative.

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