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Published on: September 7, 2022
Bilateral simultaneous hip replacement versus bilateral sequential hip replacement. A 7-year data review
Linda R Johnston1, Benedict A Clift, Rami J Abboud
1Department of Orthopaedic and Trauma Surgery, University of Dundee, TORT Centre, Ninewells Hospital, Dundee, Scotland.
Insights
Bilateral simultaneous hip replacement is a viable option, showing high patient satisfaction and similar functional improvements compared to sequential surgery. While sequential procedures may increase hospital stay, they might offer fewer adverse events.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Bilateral hip replacements are common procedures.
- The choice between simultaneous and sequential surgery impacts patient outcomes and healthcare costs.
- Collarless polished taper cemented hip prostheses are widely used.
Purpose of the Study:
- To compare bilateral simultaneous versus sequential hip replacements.
- To evaluate complications, revisions, patient satisfaction, and functional outcomes (Harris Hip Score).
- To assess the use of collarless polished taper cemented hip prostheses.
Main Methods:
- Retrospective analysis of 594 patients undergoing bilateral hip replacement.
- Data collected by independent practitioners and processed by a University Audit Department.
- Comparison of outcomes between simultaneous and sequential surgical groups.
Main Results:
- Both surgical approaches yielded high patient satisfaction rates.
- Similar improvements in Harris Hip Score, indicating reduced pain and enhanced function.
- Sequential bilateral hip replacement group had a longer hospital stay, suggesting higher costs.
- Sequential group showed a lower incidence of adverse events.
Conclusions:
- Bilateral simultaneous hip replacement is a safe and effective option.
- Sequential hip replacement may offer a reduced risk of adverse events, potentially offsetting increased hospital stay costs.
- The choice of surgical approach should consider individual patient factors and risk profiles.
Abstract:
The aim of this study was to compare the outcomes of bilateral sequential versus bilateral simultaneous hip replacements, using the collarless polished taper cemented hip prosthesis, in relation to complications, revisions, patient satisfaction rates, and Harris Hip Score. Data were collected by independent practitioners and processed within the University Audit Department. A total of 594 patients were identified as having undergone bilateral hip replacement surgery. Patient satisfaction rates were consistently high in both groups. Harris Hip Scores improvements were similar and reflected a marked improvement in pain and function. The sequential bilateral group experienced an increased length of hospital stay and therefore potential cost implications, which may be offset by the lower incidence of adverse events. Bilateral simultaneous hip replacement remains an important option, for which there is strong supportive evidence.