One-stage bilateral total hip arthroplasty: Functional outcomes and complications in 112 patients

Trojani, Christophe; D’ollonne, Thomas; Saragaglia, D.; Vielpeau, C.; Carlès, Michel; Prudhon, Jean Louis

doi:10.1016/j.otsr.2012.06.008

Cited by 41 publications

(35 citation statements)

References 13 publications

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“…[9][10][11][12]14,18,25,27,31 However, in contradistinction to hip 1,[3][4][5]23,29,30 and knee replacement, 6,8,17,20,21,24,28 there remains a paucity of data regarding the effectiveness of bilateral shoulder arthroplasty.…”

mentioning

confidence: 99%

Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Fabricant

Chin

Grawe

et al. 2016

Journal of Shoulder and Elbow Surgery

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mentioning

confidence: 99%

Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Fabricant

Chin

Grawe

et al. 2016

Journal of Shoulder and Elbow Surgery

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“…The incidence of complications after bilateral THA is much lower than that after two-stage replacements [12] . However, AS is often accompanied by spine or pelvic deformity, severe osteoporosis, and tissue contracture.…”

Section: Discussionmentioning

confidence: 83%

Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

Han¹,

Liu

Pei

et al. 2020

Preprint

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Background: Total hip arthroplasty (THA) for bony ankylosis is technically challenging in patients with ankylosing spondylitis (AS). This study aimed to determine the mid-term results of bilateral synchronous THA for bony ankylosis in patients with AS.Methods: Nineteen cases of bony ankylosis in patients with AS who received bilateral synchronous THA were included in this study (17 males and 2 females, mean age 49.2 years). Disease duration was 5–38 years (mean 18 years and 6 months). All patients received cementless THA. Intraoperative blood loss, visual analogue scale (VAS) score, and complications were assessed. Harris hip scores evaluated the clinical effect.Results: Patients were followed up for 62–98 months (mean 82.5 months). VAS score decreased from 7.42±0.92 to 2.42±0.83, Harris hip score improved from 21.8±7.2 to 80.3±6.5, and the flexion-extension range of the hip improved from 0°to 142.3±6.2°. One patient with septum bronchiale had a fracture intraoperatively and was treated with wire strapping. One patient had a traction injury of the femoral nerve postoperatively and recovered 1 year after the operation. Loosening and subsidence were not observed in all patients. Heterotopic bone formation was noted in 3 patients. No complications such as joint dislocation, acute infection, and deep vein thrombosis were found.Conclusion： Bilateral synchronous THA was effective for bony ankylosis of the hip in patients with AS because it improved patients’ quality of life, and had satisfactory mid-term outcomes.

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“…Published literature shows perplexity considering safety of the single stage procedure. The procedure supporters claim that there is no significant difference regarding perioperative complications after simultaneous bilateral procedure comparing to the two stage procedure [2][3][4][5] . Opponents of this method report higher rate of systemic complications, thromboembolic complications, cardiopulmonary complications, infections, more frequent revision surgery, higher need for blood transfusion and higher mortality rate [6][7][8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Single stage bilateral total hip arthroplasty - 10 years of experience

Radunović

Radunovic²,

Starcevic

et al. 2020

VOJNOSANIT PREGL

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Background/Aim. Coxarthrosis is a chronic degenerative joint disorder which occurs in approximately 4% of population, and bilateral occurrence is estimated at 42%. Patients with bilateral coxarthrosis can undergo bilateral hip replacement in one or two stage procedure. Aim of this article was to present our experience in simultaneous bilateral hip arthroplasty, and to recommend it in patients with adequate indications. Methods. We processed data for 113 patients of both genders, operated at the Clinic for Orthopedic Surgery and Traumatology of the Military Medical Academy in Belgrade, Serbia from 2005 until 2015 where single stage bilateral hip arthroplasty was performed. Identical operative technique was applied in all patients as well as standard antibiotic and thromboprophylactic treatment. Follow-up period was 30 days postoperatively. Results. Mean age of patients was 56 ± 10.2 years, whereby 45 (39.8%) of them were males and 68 (60.2%) females. Primary coxarthrosis was etiologic factor for the majority of patients, 69 (61.1%). Postoperative hospitalization duration was 10.3 days on average (range from 3 to 34 days). We noticed the following complications: one luxation of the endoprosthesis, one deep infection and one thrombosis of the leg. There was no mortality. Majority of operated patients were grouped as the American Society of Anesthesiologists (ASA) scores 1-3. Mean blood transfusion was 1,275 mL (range from 300 to 2,830 mL). Conclusion. One stage bilateral hip arthroplasty can be performed routinely and safely in facilities with possibility for interdisciplinary approach and adequate selection of patients. Data from our study which indicate significantly increased need for blood substitution, emphasize the need to introduce contemporary perioperative blood loss management principles. The rate of complications observed in our study was within rates published in the literature concerning hip arthroplasty.

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One-stage bilateral total hip arthroplasty: Functional outcomes and complications in 112 patients

Cited by 41 publications

References 13 publications

Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

Single stage bilateral total hip arthroplasty - 10 years of experience

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