Single-Stage Bilateral Total Hip Arthroplasty in an Ambulatory Surgical Center: A Report of Three Cases

Brzezinski, Andrzej; Imbergamo, Casey; Weintraub, Matthew T.; Patankar, Aneesh; Kayiaros, Stephen

doi:10.1016/j.artd.2021.01.014

Cited by 3 publications

(3 citation statements)

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“…In terms of symptoms, the patient was found to be in the osteoarthritic phase (Ficat Type IV) with bilateral femoral head collapse and narrowing of the joint gap on preoperative x-ray, as well as significant clinical symptoms such as pain and impaired hip movement, which significantly limited the patient's ability to perform daily work and live. In terms of age, the young age of this patient may not meet the surgical criteria for SB-THA ( 11 ), but some scholars ( 12 ) believe that SB-THA is feasible for any patient younger than 75 years old, and considering that the symptoms of this patient are more severe than those of patients in the same age group, SB-THA may be the most effective treatment at present when conservative treatments such as braking, physiotherapy, and drugs are ineffective.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, there has been an increasing number of different opinions regarding the comparison of complications between the two procedures. Brzezinski et al ( 11 ) reported three cases of SB-THA with satisfactory short-term (3 months) postoperative results and no complications. The Swedish registry data ( 18 ) showed no differences in clinical outcomes and complications between one-stage THA and staged THA.…”

Section: Discussionmentioning

confidence: 99%

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Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease

Chen

Liu²,

Wang

et al. 2022

Front. Surg.

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IntroductionKashin-Beck Disease (KBD) is an endemic disease predominantly affecting joint and skeletal muscle, predisposing the articular cartilage to degeneration and necrosis. Currently,staged total hip arthroplasty is a common surgical method for advanced femoral head necrosis from KBD, but there are no reports in the literature on simultaneous bilateral total hip arthroplasty (SB-THA) for patients with KBD.Case presentationA 42-year-old male from Shaanxi Province, an endemic area, had bilateral hip pain for 4 years, with hips inversion and a crossed gait. After preoperative preparation, a SB-THA was performed by a posterolateral approach. Postoperative medication and functional exercises were administered and the patient was followed up for at least 3 years after discharge. The patient's hip mobility, hip scores and quality of life scores were recorded in detail during the follow-up.ResultThe patient stopped antibiotic treatment on the postoperative day-2, and all inflammatory indicators showed normal and started appropriate exercise, and the pain score decreased significantly. On the postoperative day-7, the patient had gradually adapted to various forms of rehabilitation exercises. He was discharged from the hospital on the postoperative day-10 and continued to be followed up. From the preoperative period to the last follow-up, the patient's bilateral hip mobility and functional scores improved significantly, and no adverse events such as hip pain, prosthesis loosening or dislocation were found at the last follow-up.ConclusionThe patient's performance was satisfactory both intraoperatively and in the early postoperative period, but the hip scores and quality of life scores began to plateau or even decline from the third year after surgery to the last follow-up, probably due to the influence of further damage to articular cartilage in other parts of the body.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease

Chen

Liu²,

Wang

et al. 2022

Front. Surg.

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“…Between September 2020 and January 2021, 2 patients underwent unilateral THA after preoperative medical optimization performed by one surgeon using a standardized protocol described previously by Brzezinski et al. [ 5 ]. Patients underwent spinal anesthesia with sedation, were administered 1 g of tranexamic acid before incision, and received perioperative antibiotic prophylaxis.…”

Section: Case Historiesmentioning

confidence: 99%

A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty

et al. 2021

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In recent years, total hip arthroplasty via the direct anterior approach has been gaining popularity. It offers potential early advantages for less pain and quicker return of hip function; however, compared to other surgical approaches, it is associated with a more difficult femoral reconstruction. Inadequate femoral exposure during the direct anterior approach can result in suboptimal press fit, implant malalignment, and intraoperative fracture. This case report presents a unique complication of femoral broach failure and describes a simple technical solution that is feasible, cost-effective, and safe.

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Egy ülésben végzett kétoldali csípőprotézis-beültetés

Holnapy

Bejek

Szatmári

2022

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Bevezetés: A rutinbeavatkozásnak tekinthető, egyoldali primer csípőprotézis-beültetések mellett, különböző indikációkkal, a világ számos operatív ortopédiai intézményében végeznek egy ülésben kétoldali csípőízületi implantációt. Célkitűzés: Célunk a saját műtéteink és a nemzetközi irodalom kapcsán bemutatni az egy ülésben történő kétoldali csípőprotézis-beültetés indikációs körét, az abszolút és relatív kontraindikációkat, a műtét előnyeit és hátrányait, a hazai egészségügyi és financiális viszonyok között. Módszer: Jelen közleményünkben – saját öt esetünk kapcsán – áttekintjük az egy ülésben végzett kétoldali csípőprotézis-beültetéseket, azok indikációs területeit, az intraoperatív és posztoperatív különbségeket az egyoldali beavatkozáshoz képest, valamint a beavatkozás gazdasági hátterét. Eredmények: Sem sebészi, sem pedig belgyógyászati szövődmény kialakulását nem észleltük. Eseteinknél fokozott transzfúziós igény nem jelentkezett az egyoldali beavatkozáshoz képest, azonban 1,5–2-szeres posztoperatív hospitalizációs időszakot mértünk. A mobilizálhatóságot a belgyógyászati alapbetegségek határozták meg. Következtetés: Tapasztalataink alapján, orvosszakmai szempontból, az egy ülésben végzett kétoldali csípőprotézis-beültetés jól megfontolt, szűk indikációs körrel, megfelelő belgyógyászati statusú betegnél, kardiológus- és reumatológus-társszakmák bevonásával, körültekintő aneszteziológiai előkészítést követően biztonsággal elvégezhető. Ezen beavatkozások NEAK-finanszírozása azonban nem megoldott. Orv Hetil. 2022; 163(22): 879–885.

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Single-Stage Bilateral Total Hip Arthroplasty in an Ambulatory Surgical Center: A Report of Three Cases

Cited by 3 publications

References 29 publications

Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease

Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease

A Unique Complication of Femoral Broach Fracture and Incarceration During Total Hip Arthroplasty

Egy ülésben végzett kétoldali csípőprotézis-beültetés

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