ArticleThe Journal of arthroplasty2009
Bilateral total joint arthroplasty: the early results from the New Zealand National Joint Registry.
Article in The Journal of arthroplasty, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Comparing simultaneous and staged bilateral total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Simultaneous versus staged bilateral total hip arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Pooled it
- Bilateral Hip Arthroplasty: When Is It Safe to Operate the Second Hip? A Systematic Review.BioMed research international · 2018Pooled it
- No difference in the functional improvements between unilateral and bilateral total knee replacements.BMC musculoskeletal disorders · 2018Trial
- Development and validation of a minimum data set for total joint arthroplasty registries.BMC musculoskeletal disorders · 2026Article
- Systematic review of the literature and meta-analysis of the long-term likelihood of contralateral total hip arthroplasty.EFORT open reviews · 2025Article
- Outcomes of Bilateral Scandinavian Total Ankle Replacement: A Detailed Analysis of Implant Survivability and Patient-Reported Outcomes.Foot & ankle orthopaedics · 2025Article
- Evolution and Hotspots in Bilateral Total Joint Arthroplasty Research: A Bibliometric Analysis.Clinics in orthopedic surgery · 2024Review
- Simultaneous bilateral total hip arthroplasty-a survey of Irish orthopaedic surgeons' practice.Irish journal of medical science · 2024Article
- Mortality Rates in Staged Bilateral Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Review
- Economic Burden, Length of Hospital Stay and Complication of Simultaneous versus Staged Bilateral Hip Arthroplasty: A Hospital Prospective Study.ClinicoEconomics and outcomes research : CEOR · 2024Article
- Evaluating the Use of PROMs in Paediatric Orthopaedic Registries.Children (Basel, Switzerland) · 2023Review
- Staging Bilateral Total Knee Arthroplasties Reduces Alignment Outliers.The Journal of arthroplasty · 2022Article
- Medicare/Medicaid Insurance Status Is Associated With Reduced Lower Bilateral Knee Arthroplasty Utilization and Higher Complication Rates.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Clinical Outcome Comparison between Staged -Bilateral Versus Simultaneous Bilateral Total Knee Replacements.The archives of bone and joint surgery · 2021Article
- The Safety of Bilateral Simultaneous Hip and Knee Arthroplasty versus Staged Arthroplasty in a High-Volume Center Comparing Blood Loss, Peri- and Postoperative Complications, and Early Functional Outcome.Journal of clinical medicine · 2021Article
- Uncemented total hip arthroplasty can be used safely in the elderly population.Bone & joint open · 2021Article
- Bilateral vs Unilateral Total Knee Arthroplasty: Racial Variation in Utilization and In-Hospital Major Complication Rates.The Journal of arthroplasty · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study evaluated the mortality rate, major complications, and early outcomes of single anesthetic bilateral total hip and knee arthroplasty compared with unilateral and staged procedures. A total of 37,828 total hip and knee arthroplasties were evaluated with 6-month Oxford 12 scores. Major complications and mortality rates were recorded. Analysis of variance tables were used for statistical analysis. The single anesthetic bilateral group were significantly younger (P < .001), with their age-adjusted postoperative Oxford 12 scores significantly better (P < .001) than the other 2 groups. The surgeons involved, in general, performed more than 25 total knee and hip arthroplasties per year. There was 1 death within the first 6 months occurring in the staged bilateral group and was unrelated to the surgery. The complication rate as reported by patients was low in all groups, and there was no significant difference. The results show that, in selected patients, single anesthetic bilateral total knee or hip arthroplasty is a safe, low-risk procedure with very good patient-generated outcome scores at 6 months when performed by an experienced surgeon.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.