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Published on: September 7, 2022
[Total bilateral hip arthroplasty in one surgical procedure]
Zoran Popović1, Jovo Rajović, Aleksandar Radunović
1Vojnomedicinska akademija, Klinika za traumatologiju i ortopediju, Beograd, Srbija. popovic@yubc.net
Vojnosanitetski Pregled
|November 29, 2007
Summary
Single-stage bilateral total hip arthroplasty is a viable option for selected patients with severe hip osteoarthritis, reducing hospital stays and costs. This procedure offers advantages when performed by experienced teams in specialized centers.
Area of Science:
- Orthopaedic Surgery
- Arthroplasty
- Biomedical Engineering
Background:
- Primary coxarthrosis is prevalent in the aging population.
- Bilateral total hip arthroplasty (THA) can be performed simultaneously to reduce hospital stays, costs, and anesthesia complications.
- Ideal candidates are younger patients with severe bilateral hip osteoarthritis and no comorbidities; contraindications include persistent ductus arteriosus and septal defects.
Purpose of the Study:
- To evaluate the feasibility and benefits of single-stage bilateral total hip arthroplasty.
- To introduce this surgical approach into orthopaedic practice.
Main Methods:
- The study involved 19 patients undergoing the procedure.
- Standard total hip arthroplasty techniques were employed.
- Postoperative antibiotic and anticoagulant therapy followed standard protocols.
Main Results:
- A single complication of acetabular component instability with subsequent dislocation was recorded.
- This complication was successfully managed surgically.
Conclusions:
- Single-stage bilateral total hip arthroplasty is a feasible procedure for select patient populations.
- It should be reserved for major medical centers with robust postoperative care capabilities.