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Updated: May 5, 2026
09:31
Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
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Functional and Radiological Outcomes of Single-Stage Bilateral Total Hip Replacement: A Retrospective Observational
Rajendra Kumar Kanojia1, Ramesh Kalappagol Basappa1, Dipesh Shah1
1Department of Orthopaedics, PGIMER, Chandigarh, India.
Indian Journal of Orthopaedics
|August 25, 2025
Summary
One-stage bilateral total hip replacement (THR) is a safe and effective procedure for patients with bilateral hip disease, offering significant improvements in function and high patient satisfaction with a low complication rate.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Reconstructive Surgery
Background:
- One-stage bilateral total hip replacement (THR) offers advantages like reduced anesthetic exposure and shorter hospital stays.
- Evaluating functional and radiological outcomes is crucial for assessing the procedure's efficacy.
Purpose of the Study:
- To evaluate the functional and radiological outcomes of one-stage bilateral total hip replacement (THR).
- To assess the safety and efficacy of this procedure in a cohort of patients.
Main Methods:
- A retrospective study of 30 patients undergoing one-stage bilateral THR via posterior approach.
- Data collected included ASA grade, hospital stay, hemoglobin levels, and complications.
- Functional outcomes assessed using Modified Harris Hip Score, SF-36, and patient satisfaction scales.
Main Results:
- Mean surgical duration was 175 minutes with a mean blood loss of 834 ml.
- No major complications were observed; mean hospital stay was 9.9 days.
- Significant improvement in Modified Harris Hip Score (31.0 to 86.7) and high patient satisfaction (86.66%).
Conclusions:
- One-stage bilateral THR is associated with a low complication rate and good functional outcomes in selected patients (ASA 1 and 2).
- The procedure is a safe option for bilateral hip disease when performed by experienced surgeons with appropriate patient selection.
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