2 hips, acetabular component, Acetabulum, deep venous thrombosis, Earl, Harris Hip Score, Health, hemoglobin level, hip, Hip Replacement, Medicine, Patient, pulmonary embolism, THA
One- Versus Two-stage Bilateral Total Hip Arthroplasty | Orthopedics.
One- Versus Two-stage Bilateral Total Hip Arthroplasty
[Earl‘s note – seems having both hips done at the same time is OK!]
Shu Saito, MD; Yasuaki Tokuhashi, MD; Takao Ishii, MD; Sei Mori, MD; Kunihiro Hosaka, MD; Shin Taniguchi, MD
Read Full Article – click here.
Orthopedics, August 2010 – Volume 33 · Issue 8:
We compared the results of 1-stage uncemented bilateral total hip arthroplasty (THA) performed in 49 patients (98 hips) with those of 2-stage uncemented bilateral THA performed during the same hospital stay in 40 patients (80 hips).
There was no significant difference in mean Harris Hip Score preoperatively and at final follow-up between the 2 groups. Radiographic evaluation of patients in the 1-stage group revealed the acetabular component was stable in 95 hips and possibly unstable in 3. The femoral component was bone-ingrown in 91 hips and stable fibrous in 7. In the 2-stage group, the acetabular component was stable in 77 hips and possibly unstable in 3. The femoral component was bone-ingrown in 71 hips and stable fibrous in 9. In both groups, no patients exhibited clear signs of loosening, migration or osteolysis.
In the 1-stage group, postoperative dislocation occurred in 2 hips and 1 patient had developed deep venous thrombosis and pulmonary embolism. In the 2-stage group, no complications were observed. The incidence of complications was not significantly different between the 2 groups.
There was no significant difference in the total blood loss and mean hemoglobin level preoperatively and at discharge between the 2 groups.
However, in the 1-stage group, operative time, intraoperative blood loss, procedure cost, and hospital stay were significantly reduced compared with the 2-stage group.
Therefore, 1-stage bilateral THA is a safe and effective option for patients with significant arthritic disease of both hips.
- Cementless Metaphyseal Fitting Anatomic Total Hip Arthroplasty with a Ceramic-on-Ceramic Bearing in Patients Thirty Years of Age or Younger (earlsview.com)
- Instability after total hip arthroplasty (earlsview.com)
- Adverse outcomes in hip arthroplasty: l… [J Bone Joint Surg Am. 2012] – PubMed – NCBI (earlsview.com)
- Alcohol Use in Elective Total Hip Arthroplasty: Risk or Benefit? : CORR – Clinical Orthopaedics and Related Research (earlsview.com)
- Early Clinical Experience With the Use of the Birmingham Hip Resurfacing System | Orthopedics (earlsview.com)
- Prediction of Functional Outcome at Six Months Following Total Hip Arthroplasty (earlsview.com)
- Metal on metal hip resurfacing using the BHR, Cormet 2000, or Conserve Plus devices does not meet CTAF criteria 3-5 for safety, efficacy and improvement in health outcomes for patients as an alternative to total hip arthroplasty (earlsview.com)
- Patients with metal-on-metal hips being contacted after UK officials issue alert | Orthopedics Today (earlsview.com)
- Jumbo cup in revision hip arthroplasty 53 cases with 84 months of follow-up – Orthopaedia Proceedings – Orthopaedia (earlsview.com)
- Revision of hip resurfacing arthroplasty with a bone-conserving short-stem implant (earlsview.com)
Pingback: THIS IS UNBELIEVABLE – Long-term results, durability, modularity among advantages of metal-on-metal hips | Orthopedics Today « Earl's View
Pingback: Hip Replacement – Arthroplasty wound complications linked to oral anticoagulant use « Earl's View
Pingback: Hip Replacement – Effect of high-dose preoperative methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial « Earl's View
Pingback: The Journal of Bone & Joint Surgery | Article « Earl's View
Pingback: Low revision rate after total hip arthroplasty in patients with pediatric hip diseases. « Earl's View
Pingback: Choosing a Bearing Material for Hip Arthroplasty: Commentary on an article by Ingrid Milošev, PhD, et al.: « Earl's View
Pingback: The risk of revision due to dislocation after total hip arthroplasty [Acta Orthop. 2012] – PubMed – NCBI « Earl's View
Pingback: ‘Short stay’ hip arthroplasty patients show good results | Orthopedics « Earl's View
Pingback: Cementless Modular Total Hip Arthroplasty in Patients Younger than Fifty with Femoral Head Osteonecrosis: Minimum Fifteen-Year Follow-Up « Earl's View
Pingback: HIP | Chronic intoxication with cobalt following revision total hip arthroplasty « Earl's View