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Related Experiment Videos

One- or two-stage bilateral total hip replacement.

J Alfaro-Adrián1, F Bayona, J A Rech

  • 1Nuffield Orthopaedic Centre, Oxford, United Kingdom.

The Journal of Arthroplasty
|July 31, 1999
PubMed
Summary
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See all related articles

Bilateral total hip replacement (THR) is equally safe in one or two stages for most patients. One-stage THR offers cost and hospital stay benefits.

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty

Background:

  • Bilateral total hip replacement (THR) is frequently performed.
  • The optimal timing (one-stage vs. two-stage) for bilateral THR remains unclear.

Purpose of the Study:

  • To compare the safety and outcomes of one-stage versus two-stage bilateral THR.
  • To evaluate the impact of patient comorbidity on the safety of bilateral THR procedures.

Main Methods:

  • Retrospective review of 404 bilateral THRs performed between 1989 and 1995.
  • Comparison of patient demographics, comorbidities (American Society of Anesthesiologists [ASA] grade), and procedural outcomes between one-stage (n=95) and two-stage (n=107) groups.

Main Results:

  • No significant preoperative differences in ASA grade between one-stage and two-stage groups.

Related Experiment Videos

  • Bilateral THR was found to be equally safe in both one-stage and two-stage procedures, regardless of patient risk (ASA 1-4).
  • One-stage bilateral THR demonstrated reduced hospital stay and cost-effectiveness.

    • Conclusions:

    • Bilateral total hip replacement can be safely performed in a single stage for both low- and high-risk patients.
    • One-stage bilateral THR is a cost-effective option with shorter hospitalizations.