Closed Reduction of Constrained Total Hip Arthroplasty in the ED


      A dislocated hip prosthesis is a common occurrence in the Emergency Department. To combat this problem, orthopedists use constraint devices in an attempt to reduce the incidence of dislocation. However, when these devices fail, a more complicated case arises. We discuss a case report in which a patient presented with a dislocation of his hip after implantation of a constrained total hip arthroplasty. We describe a closed reduction procedure using deep sedation, fluoroscopy, and adequate assistance.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Germann C.A.
        • Geyer D.A.
        • Perron A.D.
        Closed reduction of prosthetic hip dislocation by emergency physicians.
        Am J Emerg Med. 2005; 23: 800-805
        • Fricka K.B.
        • Marshall A.
        • Paprosky W.G.
        Constrained liners in revision total hip arthroplasty: an overuse syndrome: in the affirmative.
        J Arthroplasty. 2006; 21: 121-125
        • Lombardi Jr, A.V.
        Constrained liners in revision: total hip arthroplasty an overuse syndrome: in opposition.
        J Arthroplasty. 2006; 21: 126-130
        • Dursteler B.B.
        • Wightman J.M.
        Etomidate-facilitated hip reduction in the emergency department.
        Am J Emerg Med. 2000; 18: 204-208
        • Frymann S.J.
        • Cumberbatch G.L.A.
        • Stearman A.S.
        Reduction of dislocated hip prosthesis in the emergency department using conscious sedation: a prospective study.
        Emerg Med J. 2005; 22: 807-809
        • Della Valle C.J.
        • Chang D.
        • Sporer S.
        • Berger R.A.
        • Rosenberg A.G.
        • Paprosky W.G.
        High failure rate of a constrained acetabular liner in revision total hip arthroplasty.
        J Arthroplasty. 2005; 20: 103-107
        • Harman M.K.
        • Hodge W.A.
        • Banks S.A.
        Closed reduction of constrained total hip arthroplasty.
        Clin Orthop Relat Res. 2003; : 121-128
      1. Hedges J.R. Roberts J.R. Management of common dislocations Clinical procedures in emergency medicine. 4th edn. Saunders, Philadelphia, PA2004: 975-979
        • Bremner B.R.B.
        • Goetz D.D.
        • Callaghan J.J.
        • Capello W.N.
        • Johnston R.C.
        Use of constrained acetabular components for hip instability: an average 10-year follow-up study.
        J Arthroplasty. 2003; 18: 131-137