Zhou Zhenzhong, Cai Gaorui, Yuan Shanyou, Song Lixia, Qian Ping, Wang Xueming, Ning Xianjia, Wang Jinghua, Jiang Wenxue
Department of Orthopedics, The Third People's Hospital of Shenzhen, Guangdong, China.
Center of Clinical Epidemiology, The Third People's Hospital of Shenzhen, Guangdong, China.
Front Surg. 2023 Jan 26;10:944311. doi: 10.3389/fsurg.2023.944311. eCollection 2023.
Due to the aging of the world population and the increase of obesity rate, it is expected that the number of joint replacement surgery will continue to increase in the next few years. This study evaluated the safety differences between unilateral and bilateral hip replacement surgeries.
The data for patients who underwent hip arthroplasty in 2021 and 2022 were examined. The data set included 68 patients who were grouped according to the type of hip replacement needed, sex, age, and body mass index. Total blood loss and operative time were the safety-related indicators used to compare the groups.
Regardless of whether the unilateral replacement group was compared with the overall bilateral replacement group or separately with the staged and simultaneous bilateral replacement groups, simultaneous bilateral replacement surgeries were equally safe as the other types of hip replacements. The total blood loss and operative time for the simultaneous bilateral replacement group were not significantly different from those in the unilateral and staged bilateral replacement groups. For overweight patients, the operative time for simultaneous bilateral replacements was significantly shorter than that for unilateral replacements.
These findings suggest that for patients requiring bilateral hip replacements, the blood loss risk for patients undergoing simultaneous bilateral hip replacements was similar to that for patients undergoing either unilateral or staged bilateral hip replacements. Thus, simultaneous bilateral total hip replacement (THR) are safe and should be considered for candidate patients.
由于世界人口老龄化以及肥胖率上升，预计未来几年关节置换手术的数量将持续增加。本研究评估了单侧和双侧髋关节置换手术之间的安全性差异。
对2021年和2022年接受髋关节置换术的患者数据进行了检查。数据集包括68名患者，这些患者根据所需髋关节置换类型、性别、年龄和体重指数进行分组。总失血量和手术时间是用于比较各组的安全性相关指标。
无论将单侧置换组与整个双侧置换组进行比较，还是分别与分期双侧置换组和同期双侧置换组进行比较，同期双侧置换手术与其他类型的髋关节置换手术一样安全。同期双侧置换组的总失血量和手术时间与单侧置换组和分期双侧置换组相比无显著差异。对于超重患者，同期双侧置换的手术时间明显短于单侧置换。
这些发现表明，对于需要双侧髋关节置换的患者，同期双侧髋关节置换患者的失血风险与单侧或分期双侧髋关节置换患者相似。因此，同期双侧全髋关节置换（THR）是安全的，对于候选患者应予以考虑。
