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Bilateral Charnley arthroplasty as a single procedure. A report on 400 patients
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1981
Insights
Bilateral hip replacements performed in a single operation are safe, with no increased risk of local or general complications. However, the risk of pulmonary embolism is higher with bilateral procedures.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Low-friction arthroplasty is a common hip replacement technique.
- Bilateral hip arthroplasty can be performed as a single or staged procedure.
Purpose of the Study:
- To evaluate the safety and complication rates of simultaneous bilateral hip arthroplasty compared to unilateral procedures.
Main Methods:
- Retrospective review of 400 patients undergoing bilateral low-friction hip arthroplasty.
- Comparison with a cohort of patients who underwent unilateral hip arthroplasty.
Main Results:
- Simultaneous bilateral hip arthroplasty did not increase the risk of local or general complications.
- A significantly higher incidence of pulmonary embolism was observed in patients undergoing bilateral hip arthroplasty.
Conclusions:
- Simultaneous bilateral hip arthroplasty is a viable option with comparable risks for most complications.
- Pulmonary embolism risk must be carefully considered and managed in bilateral hip replacement patients.
Abstract:
A series of 400 patients (average age 57.7 years) with bilateral low-friction arthroplasties of the hip has been reviewed. Comparison was made with similar unilateral operations. The results showed that the bilateral arthroplasties can be carried out as a single operation without higher risk of local or general complications. However, this excludes the incidence of pulmonary embolism which is higher for the bilateral replacements.