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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2026; 17(2): 113367
Published online Feb 18, 2026. doi: 10.5312/wjo.v17.i2.113367
Published online Feb 18, 2026. doi: 10.5312/wjo.v17.i2.113367
Early dislocation in primary total hip arthroplasty: Evaluation of treatment options following closed reduction
Dario Regis, Romolo Borgese, Bruno Magnan, Elena Manuela Samaila, Department of Orthopedic and Trauma Surgery, Integrated University Hospital, Verona 37126, Veneto, Italy
Francesco Bagnis, Department of Orthopedics and Traumatology, Azienda Socio Sanitaria Territoriale di Mantova, Carlo Poma Hospital, Mantua 46100, Lombardy, Italy
Author contributions: Regis D and Bagnis F designed the study and wrote the article; Borgese R created the artwork and conducted the literature review; Magnan B and Samaila EM made critical revisions. All authors approved the submitted version.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dario Regis, MD, Adjunct Professor, Department of Orthopedic and Trauma Surgery, Integrated University Hospital, Piazzale Aristide Stefani 1, Verona 37126, Veneto, Italy. regisdario@siot.it
Received: August 25, 2025
Revised: September 9, 2025
Accepted: November 25, 2025
Published online: February 18, 2026
Processing time: 165 Days and 15.7 Hours
Revised: September 9, 2025
Accepted: November 25, 2025
Published online: February 18, 2026
Processing time: 165 Days and 15.7 Hours
Core Tip
Core Tip: Dislocation is a challenging complication of primary total hip arthroplasty, as it is a leading cause of early revision, and the management following closed reduction is still controversial. This review presents the outcome of the proposed methods of treatment (bed rest, bracing, and early rehabilitation), which are unfortunately supported by limited data and small case series. Although our investigation failed to provide reliable guidelines for the post-reduction treatment strategies, immobilization should be avoided, as its effectiveness in preventing recurrence is not confirmed by clinical evidence. Further comparative studies including larger cohorts are required to establish best practices.