Five Year Follow-up of One Stage Bilateral Total Hip Arthroplasty

Abstract

We report on the medium term outcome of five patients (ten hips) who underwent one stage bilateral total hip arthroplasty. Both Harris Hip Scores and Oxford Hip Scores improved postoperatively as did range of motion. There was no radiographic evidence of loosening in any hip arthroplasty involved in this study, however one revision surgery was needed due to periprosthetic fracture. There were no increased medical complications. Based on our limited experience, we believe that one stage bilateral total hip arthroplasty is safe in selected patients.

Incidence and Prevention of Thromboembolic Events in One Stage Bilateral Total Hip Arthroplasty: A Systematic Review

“…In 10 studies there was a pre-operative patients selection criterion for those submitted to bilateral one stage THR according to ASA grading [1,4,15,24,30,32,34,[40][41][42]. In 3 studies [1,34,41] high risk patients (ASA grades III and IV) were excluded, in 4 studies [15,30,32,40] only patients with grade IV were excluded, and in 3 studies [4,24,42] all grades (ASA grades I,II,III and IV) were included. In 6 studies an analysis of outcome according to ASA grading was reported [4,15,24,30,32,40].…”

“…In most studies, grades 1 and 2 are considered as low risk and grades 3 and 4 as high risk for developing thromboembolic and cardiopulmonary complications. For that reason, patients with ASA grades 3 and 4 [41] or at least grade 4 [1,32,40] were excluded in studies with bilateral simultaneous THRs. Alfaro-Adrian et al [4] reported that ASA 3 and 4 grades had a higher incidence of DVT and PE.…”

“…In one study [17] enoxaparin was combined with aspirin 150 for 3-4 weeks, whereas in the other two studies [28,46] LMWH were administered alone. Antithrombotic stockings and early mobilization were adopted by the 6 of study groups [1,4,17,28,40,41]. The grand variety of anti-thrombotic protocols, regarding the type of anticoagulant, the dose and the total duration of administration, induced a complex heterogeneity of extracted data, so no comparative data could be reported.…”