Related Experiment Video
Updated: May 31, 2026
07:45
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Bilateral simultaneous total hip arthroplasty in a fast track setting
Kristian S Otte1, Henrik Husted, Thue Ørsnes
1Department of Orthopaedic Surgery, Hvidovre University Hospital, Copenhagen - Denmark and The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen - Denmark.
Summary
Fast-track simultaneous bilateral hip arthroplasty shows a high complication rate (22%) and 4% 90-day mortality. Further evaluation is needed for this hip replacement approach.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Fast-Track Surgery
Background:
- Simultaneous bilateral hip arthroplasty outcomes vary with conventional care.
- Fast-track protocols reduce length of stay and complications in unilateral hip and bilateral knee arthroplasty.
- The efficacy of fast-track for simultaneous bilateral hip arthroplasty requires investigation.
Purpose of the Study:
- To assess the outcomes of fast-track simultaneous bilateral hip arthroplasty.
- To evaluate complication rates and length of stay in this patient cohort.
Main Methods:
- Prospective analysis of 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures.
- Data collection included length of stay, mortality, reoperation rates, and complication analysis.
Main Results:
- Median length of stay was 4 days.
- 90-day mortality was 4%; 8% required reoperation.
- Overall complication rate was 22%, with 55% attributed to surgical technique failures.
Conclusions:
- Fast-track simultaneous bilateral hip arthroplasty may be associated with a high complication rate.
- Surgical technique appears to be a significant factor in complications.
- Further research is warranted to optimize this surgical approach.
