Comparing the Incidence and Clinical Data for Simultaneous Bilateral Versus Unilateral Total Hip Arthroplasty in New York State Between 1990 and 2010

Glait, Sergio A.; Khatib, Omar; Bansal, Ankit; Hochfelder, Jason P.; Slover, James

doi:10.1016/j.arth.2015.05.046

Cited by 19 publications

(20 citation statements)

References 16 publications

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“…The results were similar to those reported in previous studies in other countries, including America and Denmark. [6,8,26] Finally, this was a retrospective review, so studies with a higher level of evidence are necessary.…”

Section: Discussionmentioning

confidence: 99%

Total hospital cost, length of stay, and complications between simultaneous and staged bilateral total hip arthroplasty

et al. 2019

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This retrospective cohort study aimed to compare the total hospital cost, length of stay (LOS), and incidence of complications between simultaneous bilateral total hip arthroplasty (simBTHA) and staged bilateral total hip arthroplasty (staBTHA).We identified 256 patients who underwent staBTHA and matched them to a control group of 256 patients who underwent simBTHA from 2013 to 2016. Patients’ demographics, total hospital costs, complication rates, and LOS were recorded and compared.Patients undergoing simBTHA were younger (52.0 ± 12.0 vs 54.9 ± 13.2 years, P = .01), were more likely to be men (55.9% vs 46.9%, P = .04). There was no significant difference in total hospital costs or complications within 90 days for simBTHA compared with staBTHA. The transfusion rate was higher (49.3% vs 10.4%, P < .01), but the LOS was shorter in the simBTHA group (8.7 ± 5.3 vs 12.1 ± 5.6 days, P < .01).There were no differences in total hospital costs or complications within 90 days if patients were carefully selected for simBTHA. Considering the difference in baseline characteristics and the low level of evidence, further randomized controlled studies are necessary.

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Section: Discussionmentioning

confidence: 99%

Total hospital cost, length of stay, and complications between simultaneous and staged bilateral total hip arthroplasty

et al. 2019

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“…Improvements in surgical technique, anaesthesiology (introduction of hypotensive anaesthesia), anticoagulant therapy and early mobilisation showed decrease in numbers of reported complications of this type. Berend and Glait [36,37] found increased incidence rate of pulmonary thromboembolism, while majority of other authors did not mention similar findings [20,[38][39][40][41]. Some of the authors who failed to find any thromboembolic complications in their series of simultaneous procedures explain this as a better adaptation of a patient to mobilisation protocols when both hips are operated.…”

Section: Simultaneous Bilateral Total Hip Arthroplastymentioning

confidence: 98%

“…He explained that in a staged group, blood loss is a sum of losses in two surgeries that are separated long enough for organism to compensate loss from first surgery. Some authors did not discover any increased blood loss in a simultaneous group [17,25,37,44]. Glait pointed out that an increased need for transfusion can be expected if a simultaneous procedure is performed by a less experienced surgeon [37].…”

Section: Simultaneous Bilateral Total Hip Arthroplastymentioning

confidence: 99%

Simultaneous Bilateral Joint Arthroplasties in Treatment of Osteoarthritis

Radunović¹,

Vulović²,

Aksić³

et al. 2021

Recent Advances in Bone Tumours and Osteoarthritis

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Osteoarthrosis is the most common chronic joint condition, the aetiology of which is still not completely clear. Initial phases of disease are treated conservatively applying physical rehabilitation procedures and medications. Advanced stages need surgical treatment with numerous procedures, depending on the joint affected. Joint arthroplasties are procedure of choice, especially for big joints of the extremities. As osteoarthrosis occurs bilaterally very frequently, there are a growing number of patients in need for operation of both joints. Those procedures can be performed under single anaesthesia or staged procedure, with delay between two surgeries. There are many advantages and disadvantages of both approaches cited by different authors. There is consensus of authors in available articles regarding benefits of single-stage procedure: lower cost, shorter hospital stay, single rehabilitation period and better functional results. Authors disagree about safety of a single-stage bilateral procedure as well as incidence of complications and criteria for selection of patients for safe performing of simultaneous procedure.

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“…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] . Likewise, there is no consensus regarding selection of patients neither an absolute indication for performing simultaneous bilateral total hip arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

“…Recommendations vary a lot: some authors advise performing procedure in patients classified as ASA score 1 or 2 5,13,14 , while others performed surgery in patients belonging from ASA scores 1-4 4 . There is a consensus that simultaneous bilateral procedure leads to the reduction of cost and hospital stay 11,13,15 . Also, there is agreement that performing single stage bilateral procedure contributes to significantly better outcome of patients with bilateral coxarthrosis.…”

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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Comparing the Incidence and Clinical Data for Simultaneous Bilateral Versus Unilateral Total Hip Arthroplasty in New York State Between 1990 and 2010

Cited by 19 publications

References 16 publications

Total hospital cost, length of stay, and complications between simultaneous and staged bilateral total hip arthroplasty

Total hospital cost, length of stay, and complications between simultaneous and staged bilateral total hip arthroplasty

Simultaneous Bilateral Joint Arthroplasties in Treatment of Osteoarthritis

Single stage bilateral total hip arthroplasty - 10 years of experience

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