# 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

## TL;DR

The Hana table is a safe and effective tool for reducing hip dislocations after surgery, even when dislocations last up to 36 hours.

## Contribution

Demonstrates the Hana table's effectiveness for both anterior and posterior hip dislocations, including prolonged cases.

## Key findings

- Closed reduction was successful in all six cases using the Hana table.
- No intraoperative or postoperative complications occurred during the procedure.
- Hips remained stable without dislocation recurrence at follow-up.

## Abstract

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.