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

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.