Predictors of failed reduction after prosthetic hip dislocation
This study demonstrated reduction location was the dominant predictor of success, with non-ED settings demonstrating substantially higher odds of achieving closed reduction. Longer procedure duration was inversely associated with success, suggesting that protracted or repeated attempts should prompt early operative escalation. Standardized sedation protocols, adequate muscle relaxation, and algorithmic triage for high-risk cases may enhance success rates and reduce resource utilization in the management of prosthetic hip dislocations.
Authors
- Ellen Lutnick (ORCID: https://orcid.org/0000-0001-7102-3718)
- Samuel I. Fuller (ORCID: https://orcid.org/0000-0002-9960-3412)
- Aidan G. Papalia (ORCID: https://orcid.org/0000-0001-5927-1313)
- Nicholas M. Frappa (ORCID: https://orcid.org/0009-0007-0623-2864)
- Matthew G. Alben (ORCID: https://orcid.org/0000-0001-7398-4088)
- Danil Chernov (ORCID: https://orcid.org/0009-0001-1310-623X)
Institutions
- Geisinger Health System (US)
- University at Buffalo, State University of New York (US)
Publication Details
- Journal
- European Journal of Orthopaedic Surgery & Traumatology
- Published
- 2025-11-12
- DOI
- https://doi.org/10.1007/s00590-025-04589-7
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 0.00