Related Experiment Video
Updated: Oct 13, 2025

09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
3.2K
Simultaneous primary bilateral hip resection arthroplasty
Justin Than1, Max Jiganti1, Nicholas Tedesco1,2
1Samaritan Health Services, Department of Orthopedics, Corvallis, OR, USA.
Arthroplasty Today
|November 11, 2021
Summary
Simultaneous bilateral hip resection arthroplasty offers a viable solution for managing femoral head osteonecrosis in high-risk patients, providing pain relief and preserving function.
Area of Science:
- Orthopedic Surgery
- Hip Reconstruction
- Osteonecrosis Management
Background:
- Hip resection arthroplasty is established for complex hip issues and high-risk patients.
- Unilateral procedures for hip arthroplasty failure show success in pain relief and function.
- Limited research exists on simultaneous bilateral hip resection arthroplasty for femoral head osteonecrosis.
Observation:
- Two cases of single-stage bilateral hip resection arthroplasty for femoral head osteonecrosis are presented.
- Both procedures were performed under a single anesthetic.
- Patients could stand for transfers postoperatively without increased pain or functional decline.
Findings:
- Single-stage bilateral hip resection arthroplasty achieved satisfactory pain control.
- Functional preservation was observed postoperatively.
- The procedure demonstrated feasibility in patients unsuitable for advanced reconstructive options.
Implications:
- This approach may be a valuable option for select patients with bilateral femoral head osteonecrosis.
- It offers a potential solution for managing complex hip conditions in high-risk individuals.
- Further research is warranted to explore the long-term outcomes and broader applicability of this surgical technique.

