Document Detail


One- versus two-stage bilateral total hip arthroplasty.
MedLine Citation:
PMID:  20704112     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We compared the results of 1-stage uncemented bilateral total hip arthroplasty (THA) performed in 49 patients (98 hips) with those of 2-stage uncemented bilateral THA performed during the same hospital stay in 40 patients (80 hips). There was no significant difference in mean Harris Hip Score preoperatively and at final follow-up between the 2 groups. Radiographic evaluation of patients in the 1-stage group revealed the acetabular component was stable in 95 hips and possibly unstable in 3. The femoral component was bone-ingrown in 91 hips and stable fibrous in 7. In the 2-stage group, the acetabular component was stable in 77 hips and possibly unstable in 3. The femoral component was bone-ingrown in 71 hips and stable fibrous in 9. In both groups, no patients exhibited clear signs of loosening, migration or osteolysis.In the 1-stage group, postoperative dislocation occurred in 2 hips and 1 patient had developed deep venous thrombosis and pulmonary embolism. In the 2-stage group, no complications were observed. The incidence of complications was not significantly different between the 2 groups.There was no significant difference in the total blood loss and mean hemoglobin level preoperatively and at discharge between the 2 groups. However, in the 1-stage group, operative time, intraoperative blood loss, procedure cost, and hospital stay were significantly reduced compared with the 2-stage group. Therefore, 1-stage bilateral THA is a safe and effective option for patients with significant arthritic disease of both hips.
Authors:
Shu Saito; Yasuaki Tokuhashi; Takao Ishii; Sei Mori; Kunihiro Hosaka; Shin Taniguchi
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-08-11
Journal Detail:
Title:  Orthopedics     Volume:  33     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-13     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Affiliation:
Department of Orthopedic Surgery, Nihon University School of Medicine, Tokyo, Japan. ssaito@med.nihon-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement, Hip / methods*
Female
Follow-Up Studies
Humans
Japan / epidemiology
Length of Stay
Male
Middle Aged
Osteoarthritis, Hip / mortality,  physiopathology,  surgery*
Range of Motion, Articular
Retrospective Studies
Survival Rate / trends
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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