Analgesia and anesthesia for closed reduction of dislocated total hip arthroplasty: Protocol for a scoping review.

Abstract

Total hip arthroplasty is a common surgical procedure, but dislocation remains a significant complication often requiring closed reduction. Current anesthetic practices for closed reduction of total hip arthroplasty vary widely, and evidence on the efficacy, safety, and cost-effectiveness of different anesthetic and analgetic regimens is limited. This scoping review follows the Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR framework. A systematic search will be conducted in major databases to identify studies on anesthetic approaches for closed reduction of dislocated total hip arthroplasty. Eligible studies will include adult patients and focus on outcomes such as success rate, complications, patient satisfaction, and procedural efficiency. Data will be extracted and synthesized narratively and descriptively. The review will map the existing evidence on anesthetic and analgetic regimens, including their success rates, associated complications, and cost-effectiveness. It will also highlight gaps in the literature and variations in practice across different settings. By summarizing current evidence and identifying research gaps, this scoping review aims to inform clinical practice and guide future studies, ultimately improving the safety, effectiveness, and efficiency of anesthetic strategies for closed reduction of dislocated total hip arthroplasties.