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Published on: September 7, 2022
[One-stage bilateral total hip arthroplasty: a systematic review and meta-analysis]
D Haverkamp1, M P J van den Bekerom, I Harmse
1Academisch Medisch Centrum,afd. Orthopedische Chirurgie, Amsterdam. Daniel@drhaverkamp.com
Objective:
To investigate whether bilateral total hip arthroplasty (THA) performed in one session is a safe procedure.
Design:
Systematic review.
Method:
In a literature search, 1460 studies were found of which 5 prospective in nature and which met our inclusion criteria. The patient data from these studies were pooled for meta-analysis. Data from 579 patients could be pooled for the two-session bilateral THA group and data from 334 patients for the one-session THA group.
Results:
After this pooling of data, no difference in major complications was found (odds ratio: 0.72; 95%-CI: 0.45-1.15). Minor complications occurred more often in the one-session group (odds ratio: 0.50; 95%-CI: 0.32-0.78). Intra-operative blood loss was less in the one-session group (121.7 ml; 95%-CI: 51.6-191.9), whilst the number of transfusions was greater in this group than in the two-session group (-0.5 units; 95%-CI: -0.74--0.20). Duration of the surgical procedure was not influenced by the choice for one or two sessions (difference: 6.0 minutes; 95%-CI: -2.4-14.4). Length of hospital stay was significantly shorter in the one-session group (3.2 days; 95%-CI: 3.0-3.7).
Conclusion:
We conclude that one-session bilateral THA appears to be a safe procedure in selected patients.