NDLI: One- versus two-stage bilateral total hip arthroplasty.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Saito, Shu Tokuhashi, Yasuaki Ishii, Takao Mori, Sei Hosaka, Kunihiro Taniguchi, Shin
Spatial Coverage	Japan
Description	Country affiliation: Japan Author Affiliation: Saito S ( Department of Orthopedic Surgery, Nihon University School of Medicine, Tokyo, Japan. ssaito@med.nihon-u.ac.jp)
Abstract	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.
File Format	HTM / HTML
ISSN	01477447
Volume Number	33
Journal	Orthopedics
e-ISSN	19382367
Issue Number	8
DOI	10.3928/01477447-20100625-07
Language	English
Publisher	SLACK Incorporated
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Methods Osteoarthritis, Hip Surgery Adult Aged Female Follow-up Studies Humans Japan Epidemiology Length Of Stay Male Middle Aged Mortality Physiopathology Range Of Motion, Articular Retrospective Studies Survival Rate Trends Time Factors Treatment Outcome Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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