SynthesisBioMed research international2018
Bilateral Hip Arthroplasty: When Is It Safe to Operate the Second Hip? A Systematic Review.
Synthesis in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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
11 citing papers in PubMed.
- Comparison of postoperative outcomes between bikini-incision via direct anterior approach and posterolateral approach in simultaneous bilateral total hip arthroplasty: a randomized controlled trial.Scientific reports · 2023Trial
- One-stage vs. two-stage bilateral total hip arthroplasty: no difference in clinical outcomes, complications and revision rates in at 5-year follow up.Frontiers in surgery · 2025Article
- Retrospective study of complications following two-stage bilateral total hip arthroplasty: does inter-stage interval matter?SICOT-J · 2025Article
- Simultaneous bilateral total hip arthroplasty-a survey of Irish orthopaedic surgeons' practice.Irish journal of medical science · 2024Article
- Outcomes following staged bilateral total hip replacement: does first-side surgery predict the second?Annals of the Royal College of Surgeons of England · 2024Article
- 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
- Perioperative nursing care for hip arthroplasty patients with concomitant hypertension: A minireview.World journal of clinical cases · 2023Review
- Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?Journal of clinical medicine · 2023Article
- Perioperative safety assessment of patients undergoing unilateral or bilateral hip replacements.Frontiers in surgery · 2023Article
- 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
- Factors Affecting Discharge Disposition After Primary Simultaneous Bilateral Joint Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatients with degenerative hip disease frequently present with bilateral involvement that requires surgical management. The main goal when treating these patients is to achieve the maximum efficiency without increasing risk of perioperative complications; therefore, the decision regarding the best moment to operate the second hip becomes relevant. Although studies have addressed this topic, whether a simultaneous or staged surgery should be performed remains controversial. The purpose of this study was to determine, based on available evidence, the optimum strategy in terms of safety to operate the second hip in patients with bilateral involvement. MATERIALS AND
methodsA meta-analysis was planned. A systematic review of the literature was performed including clinical trials or observational analytical studies comparing the safety of bilateral arthroplasty performed simultaneously or staged by measuring major and minor complications. The appropriateness of a meta-analysis was evaluated through the detailed analysis of the risk of bias and clinical heterogeneity of the included studies.
resultsThirteen studies were selected after the systematic review. A wide variability in the methodological designs was found with a critical risk of bias in most of them. Considerable heterogeneity was detected in defining staged surgery in the cointerventions and how the outcomes were defined and measured. In response to these findings, a meta-analysis was considered not appropriate. The results showed no differences in the risk of mortality or systemic complications in young and healthy patients between simultaneous or staged surgeries. However, increased risk of complications for staged surgeries performed during the same hospitalization was observed.
conclusionsAvailable evidence is very heterogeneous and the quality of evidence is low. The available evidence supports the performance of simultaneous hip arthroplasty in selected patients (not older than 65 years, ASA 1-2, without cardiovascular comorbidities) and suggests the avoidance of staged surgeries within the same hospitalization.
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