ArticleInternational orthopaedics2013
Simultaneous bilateral total hip arthroplasties do not lead to higher complication or allogeneic transfusion rates compared to unilateral procedures.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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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.
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Who cites it
18 citing papers in PubMed, 42 citations in OpenAlex.
- Simultaneous bilateral total hip arthroplasty results in smaller Leg length discrepancy than staged bilateral procedures.Archives of orthopaedic and trauma surgery · 2024Article
- Simultaneous vs staged bilateral hip arthroplasty: monocentric analysis of satisfaction rate and complications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- Similar complication and readmission rates following simultaneous versus staged bilateral total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- Delta hemoglobin cutoffs do not predict readmission in patients undergoing primary simultaneous bilateral total hip or knee arthroplasty: A retrospective cohort study.Journal of clinical orthopaedics and trauma · 2024Article
- Component Asymmetry in Bilateral Cementless Total Hip Arthroplasty.Clinics in orthopedic surgery · 2023Article
- Hypotensive Anesthesia Combined with Tranexamic Acid Reduces Perioperative Blood Loss in Simultaneous Bilateral Total Hip Arthroplasty: A Retrospective Cohort Study.Orthopaedic surgery · 2022Article
- Peri-operative Morbidity Associated with Bilateral Hip Arthroplasty for Inflammatory Arthritis: Results from a Consecutive Series of 168 Hips.Indian journal of orthopaedics · 2021Article
- Effects of disusing closed suction drainage in simultaneous bilateral total hip arthroplasty: A retrospective cohort study.PloS one · 2021Article
- The direct anterior approach for simultaneous bilateral total hip arthroplasty: a short-term efficacy analysis.Arthroplasty (London, England) · 2020Article
- One-stage versus 2-stage bilateral total joint arthroplasty: a matched cohort study.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
- One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up.Journal of orthopaedic surgery and research · 2019Article
- Article
- Simultaneous bilateral total hip arthroplasties in nonagenarians.Irish journal of medical science · 2017Review
- Cementless One-Stage Bilateral Total Hip Arthroplasty in Osteoarthritis Patients: Functional Outcomes and Complications.Orthopedic reviews · 2017Article
- Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head.BMC musculoskeletal disorders · 2017Article
- Onsets of complications and revisions are not increased after simultaneous bilateral unicompartmental knee arthroplasty in comparison with unilateral procedures.International orthopaedics · 2015Article
- Clinical and radiological short-term complications after single-stage bilateral uncemented total hip arthroplasty.Musculoskeletal surgery · 2015Article
- The effect of single-dose intravenous tranexamic acid in simultaneous bilateral total hip arthroplasty: a retrospective study.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAbout 20 % of patients undergoing a primary total hip arthroplasty could undergo a second contralateral procedure within five years. The possibility to perform simultaneous bilateral hip replacements instead of two-stage surgery could reduce hospitalisation time and patient management costs, but concerns exist because of risks related to massive blood loss and possible increase in complication rates. The purpose of this study is to assess the veracity of these concerns.
methodsParameters like blood loss, transfused blood units, total hospital length of stay (surgical and rehabilitation) and presence of in-hospital complications were collected from surgery reports of two different groups of patients. The first group comprised patients undergoing simultaneous bilateral total hip arthroplasty (n = 63), while the second group consisted of patients undergoing unilateral surgery (n = 97). Occurrence of complications within six post-operative months was assessed by phone interview.
resultsNo differences were observed in complication, revision and mortality rates between the study groups. On the contrary, blood loss was significantly higher in the bilateral group, but the application of appropriate transfusion protocols reduced the use of allogeneic blood transfusion to the levels recorded for unilateral patients. Moreover, the difference in length of hospital stay (about two days) between the two groups was not clinically relevant.
conclusionsOur data show that simultaneous bilateral procedures do not lead to higher complication or allogeneic transfusion rates in comparison to unilateral hip replacement, and that, in cases of bilateral disease, they could significantly reduce the total length of hospital stay and, therefore, patient management costs.
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