One- or two-stage bilateral total hip replacement

Alfaro-Adrián, J.; Bayona, F.; Rech, Juergen; Murray, David

doi:10.1016/s0883-5403(99)90099-2

Cited by 117 publications

(126 citation statements)

References 9 publications

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“…In retrospect, the second surgery of the patient who sustained the cup protrusio should have been postponed and the patient placed on nonweightbearing precautions, which could have possibly prevented the need for revision. Our findings are also similar to those reporting conventional THAs, which showed comparable pain relief scores between groups [1,7,9,20,25] and similar complication rates [1,9,25] (Table 4). In contrast, Parvizi et al found more wound drainage and anemia in their two-stage group [20], whereas two other studies highlighted a greater risk for major complications (pulmonary or cardiovascular) associated with one-stage procedures [23].…”

Section: Discussionsupporting

confidence: 90%

“…Our patients with one-stage bilateral surgery had a shorter length of stay (4.7 days) as compared with the two-stage patients (7.9 days), a result corroborated by all comparable studies, including all prosthetic types [1,9,17,20,21,25]. This should lead to substantial cost savings to healthcare payers.…”

Section: Discussionsupporting

confidence: 83%

“…In comparison to two-stage bilateral THA, a one-stage procedure decreases total duration of recovery, reduces total hospital stay (and resulting in lower cost) [21], and provides similar pain relief [1] with possibly a greater ROM gain and walking ability for patients with very stiff hips [9]. However, patient selection is important, because there is also a higher risk of pulmonary [7] or cardiovascular complications [16,23].…”

Section: Introductionmentioning

confidence: 99%

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Are There Benefits to One- versus Two-stage Procedures in Bilateral Hip Resurfacing?

Amstutz

Duff

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Short-term studies report comparable complication rates of one-stage bilateral versus two-stage procedures in hip resurfacing, although the long-term effects of such procedures on survivorship, quality of life, and disease-specific scores are currently unknown. Questions/purposes We compared clinical scores, length of stay, complication rates, and survivorship in patients who underwent bilateral hip resurfacing grouped on the basis of one-stage versus two-stage operation. Patients and Methods We retrospectively reviewed 75 patients who underwent a one-stage procedure and 87 patients who had both hips resurfaced in separate procedures. The demographics and etiologies were similar for the two groups. The mean followup time was longer in the two-stage group (7.3 years; range, 2.6-12.3 years) than in the one-stage group (6.6 years; range, 2.6-10.9 years). Results We found no differences in the latest postoperative UCLA pain, walking function, and activity scores; Harris hip scores; or SF-12 scores between the two groups. The average length of stay was shorter for the one-stage group. The early complication rates were similar between the two groups. One-stage patients had a higher revision rate than the patients in the two-stage group (14 versus four hips, respectively), but this was not true for patients with femoral components 48 mm or greater in size. Conclusions We found a greater rate of revisions in the one-stage group, suggesting possible long-term detrimental effects of the one-stage procedure. Our data suggest selecting patients with large component sizes if the surgeries are to be performed under one anesthesia.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Are There Benefits to One- versus Two-stage Procedures in Bilateral Hip Resurfacing?

Amstutz

Duff

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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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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“…However, it is important to note that all of our patients were ASA grade 1 or grade 2 and therefore at decreased risk for such complications. Patients with significant co-morbidities (ASA grade 3 or 4) have been reported to have higher incidence of peri-and post-operative complications in both the two stage and one stage operations 12 .…”

Section: Discussionmentioning

confidence: 99%

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

Abbas¹,

Tai²,

Varaprasad³

et al. 2007

MOJ

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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.

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One- or two-stage bilateral total hip replacement

Cited by 117 publications

References 9 publications

Are There Benefits to One- versus Two-stage Procedures in Bilateral Hip Resurfacing?

Are There Benefits to One- versus Two-stage Procedures in Bilateral Hip Resurfacing?

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

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

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