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Related Experiment Video

Updated: Jan 20, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Simultaneous versus staged bilateral total hip arthroplasty: a meta-analysis.

Francisco Soler1, Javier Hernández1, José María Lamo-Espinosa2,3

  • 1Soler Trauma Clinic, Elche, Spain.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
|January 19, 2026
PubMed
Summary
This summary is machine-generated.

Bilateral simultaneous hip replacement (sim-THA) is more cost-effective and leads to better patient outcomes than staged procedures. This approach reduces hospital stays and revision rates, improving quality of life.

Keywords:
Blood transfusionComplicationsCost-effectivenessLength of stayPatient-reported outcomesSimultaneous bilateralStaged bilateralTotal hip arthroplasty

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Last Updated: Jan 20, 2026

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Area of Science:

  • Orthopedic Surgery
  • Health Economics

Background:

  • Debate exists on the optimal timing for bilateral total hip arthroplasty (THA), with simultaneous and staged approaches being considered.
  • Cost-effectiveness is a critical factor in healthcare resource allocation for THA procedures.

Purpose of the Study:

  • To assess the cost implications of simultaneous bilateral (sim-THA) versus staged bilateral (st-THA) total hip arthroplasty.
  • To compare the efficacy and safety of sim-THA with st-THA.

Main Methods:

  • A systematic review and meta-analysis adhering to PRISMA guidelines were performed.
  • Included studies compared simultaneous and staged bilateral THA regarding cost, complications, hospital stay, and patient outcomes.
  • Data were analyzed using odds ratios, mean differences, and standard mean differences with 95% confidence intervals.

Main Results:

  • Sim-THA was linked to significantly lower total costs and shorter hospital stays compared to st-THA.
  • Revision rates were lower in the sim-THA group, while mortality and readmission rates showed no significant differences.
  • Patient functionality favored sim-THA, although transfusions were more frequent.

Conclusions:

  • Simultaneous bilateral total hip arthroplasty presents economic and clinical benefits over staged procedures.
  • Reduced hospital expenses and enhanced patient quality of life are key advantages of sim-THA.
  • Despite a higher transfusion rate, sim-THA demonstrates comparable surgical blood loss and improved outcomes.