Bilateral Total Hip Arthroplasty has Similar Complication Rates to Unilateral Total Hip Arthroplasty

The Journal of Arthroplasty
A I StavrakisJay R Lieberman

Abstract

Simultaneous bilateral THA has several advantages over staged THA, however its safety has not been well examined. This study reports a statewide 15-year experience of simultaneous bilateral THA and compares its complications to those of unilateral THA. Logistic regression was used to determine the role of bilateral surgery as a predictor of complications while correcting for patient comorbidities. Of 202,986 patients, 1.1% underwent bilateral THA. Bilateral THA was more commonly performed in males, younger patients, those with private insurance, and at higher volume hospitals. There was no difference in 30-day readmissions or revision surgeries. There was a higher rate of sepsis in the bilateral group but no difference in other complications. This study demonstrates that THA is a safe option in appropriately selected patients.

References

Apr 1, 1996·The Journal of Arthroplasty·M A RitterJ B Meding
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Mar 8, 2013·The Journal of Bone and Joint Surgery. American Volume·Franklin T Hoaglund
May 15, 2013·The Journal of Arthroplasty·Mohammad R RasouliJavad Parvizi

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Citations

Apr 14, 2016·The Journal of Arthroplasty·Georgios K TriantafyllopoulosLazaros A Poultsides
Oct 26, 2016·The Journal of Arthroplasty·Hongyi ShaoAntonia F Chen
Mar 9, 2018·Journal of Materials Science. Materials in Medicine·Yoshinubo UchiharaNick A Athanasou
Oct 13, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Bryan FoongAlister J Hart
Jan 2, 2018·The Open Orthopaedics Journal·Gerasimos Petridis, Martin Nolde
Apr 24, 2018·BioMed Research International·Meilyn MuskusAdolfo Llinás
Feb 16, 2018·International Orthopaedics·Xiang LiJiying Chen
May 15, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Afshin TaheriazamHashem Abrishamkarzadeh
Jun 2, 2018·Case Reports in Orthopedics·Hiroaki TagomoriHiroshi Tsumura
Feb 12, 2017·Irish Journal of Medical Science·F R PowerP D Curtin
Jun 20, 2020·The Journal of Bone and Joint Surgery. American Volume·Jens VanbiervlietPaul E Beaulé
Dec 11, 2020·Journal of Orthopaedics·Travis R FlickWilliam F Sherman
Jun 25, 2020·Arthroplasty Today·Jessica S MortonLazaros A Poultsides

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