双侧全髋关节置换术与单侧全髋关节置换术的并发症发生率相似。
Complication rates of bilateral total hip versus unilateral total hip arthroplasty are similar.
作者信息
Flick Travis R, Ofa Sione A, Patel Akshar H, Ross Bailey J, Sanchez Fernando L, Sherman William F
机构信息
Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA, 70112, USA.
出版信息
J Orthop. 2020 Nov 13;22:571-578. doi: 10.1016/j.jor.2020.11.010. eCollection 2020 Nov-Dec.
Abstract
OBJECTIVE
Utilize a nationwide database to identify and compare the differences between patient demographics and clinical outcomes for patients undergoing simultaneous bilateral total hip arthroplasty (THA) and unilateral THA.
METHODS
A nationwide administrative claims database was utilized; In-hospital, 90-day, and 1-year post-discharge rates of local and systemic complications were collected and compared with multivariate logistic regression.
RESULTS
Incidence of prosthetic joint infection was significantly lower in the bilateral cohort. Length of stay was significantly shorter in the unilateral THA cohort.
CONCLUSION
Surgeons should consider simultaneous bilateral THA a safe and effective procedure for low risk patients with appropriate comorbidities.
摘要
目的
利用全国性数据库，识别并比较同期双侧全髋关节置换术（THA）和单侧THA患者的人口统计学特征及临床结局差异。
方法
使用全国性行政索赔数据库；收集住院期间、出院后90天及1年的局部和全身并发症发生率，并通过多因素逻辑回归进行比较。
结果
双侧队列中假体关节感染的发生率显著较低。单侧THA队列的住院时间显著较短。
结论
对于具有适当合并症的低风险患者，外科医生应考虑同期双侧THA是一种安全有效的手术。
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