Document Detail


Is one-stage bilateral sequential total hip replacement as safe as unilateral total hip replacement?
MedLine Citation:
PMID:  19258605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated whether simultaneous bilateral sequential total hip replacement (THR) would increase the rate of mortality and complications compared with unilateral THR in both low- and high-risk groups of patients. We enrolled 978 patients with bilateral and 1666 with unilateral THR in the study. There were no significant pre-operative differences between the groups in regard to age, gender, body mass index, diagnosis, comorbidity as assessed by the grading of the American Society of Anesthesiologists (ASA), the type of prosthesis and the duration of follow-up. The mean follow-up was for 10.5 years (5 to 13) in the bilateral THR group and 9.8 years (5 to 14) in the unilateral group. The peri-operative mortality rate of patients who had simultaneous bilateral THR (0.31%, three of 978 patients) was similar to that of patients with unilateral THR (0.18%, three of 1666 patients). The peri-operative mortality rate of patients in the bilateral group was similar in high risk and low risk patients (0.70%, two of 285 patients vs 0.14%, one of 693 patients) and this was also true in the unilateral THR group (0.40%, two of 500 patients vs 0.09%, one of 1166 patients). Patients with bilateral THR required more blood transfusions and a longer hospital stay than those in the unilateral THR group. There was no significant difference (p = 0.32) in the overall number of complications between the groups. This was also true for the low-risk (p = 0.81) vs high-risk (p = 0.631) patients. Our findings confirm that simultaneous sequential bilateral THR is a safe option for patients who are considered to be either high or low risk according to the ASA classification.
Authors:
Y-H Kim; O-R Kwon; J-S Kim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-04     Completed Date:  2009-03-27     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  316-20     Citation Subset:  AIM; IM    
Affiliation:
The Joint Replacement Center of Korea, Ewha Womans University School of Medicine Mok Dong Hospital, 911-1, MokDong, YangChun-Gu, Seoul 158-70, Korea. younghookim@ewha.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / adverse effects*,  methods*
Blood Transfusion / statistics & numerical data
Epidemiologic Methods
Female
Humans
Length of Stay / statistics & numerical data
Male
Middle Aged
Perioperative Care / methods
Postoperative Complications
Young Adult

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


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