Tyrpenou Evangelos, Megaloikonomos Panayiotis D, Epure Laura, Huk-Papanastassiou Olga, Zukor David, Antoniou John
Department of Orthopaedic Surgery, SMBD-Jewish General Hospital, McGill University, Montreal, QC, Canada.
Eur J Orthop Surg Traumatol. 2024 Feb;34(2):863-867. doi: 10.1007/s00590-023-03734-4. Epub 2023 Sep 25.
To compare short-term complications and readmission rates, in patients treated with simultaneous versus staged bilateral total hip arthroplasty (THA) within a year from the index procedure.
We reviewed the charts of patients that underwent simultaneous and staged-within a year-bilateral THA, between 2016 and 2020. Preoperative baseline characteristics were evaluated, while differences in terms of 30-day major and 30-day minor complications and readmission rates were compared between the groups.
One-hundred-sixty patients (mean age, 64.3 years; SD, ± 11.7) were identified. Seventy-nine patients were treated with simultaneous (Group A) and eighty-one patients with staged (Group B) THA. There were no differences in baseline characteristic between the two groups (p > 0.050). Group A was more likely to receive general anesthesia (43% vs. 9.9%, p < 0.001) and had longer total operative time (182.8 vs. 128.0 min, p < 0.001). Group A had an overall shorter total length of hospital stay (5.8 vs. 8.6 days, p < 0.001). No differences in transfusion rates (p = 0.229) and no differences in major and minor complications (p > 0.05) were identified. Postoperative visits at the emergency department or readmissions were similar between the two groups (p > 0.050).
This study shows that similar complication and readmission rates are expected after simultaneous and staged THA. Simultaneous bilateral THA is a safe and effective procedure, that should be considered for patients that present with radiologic and clinical bilateral hip disease.
比较初次手术一年内接受同期双侧全髋关节置换术（THA）与分期双侧THA治疗的患者的短期并发症和再入院率。
我们回顾了2016年至2020年间接受同期和一年内分期双侧THA的患者病历。评估术前基线特征，比较两组在30天内主要和次要并发症及再入院率方面的差异。
共确定了160例患者（平均年龄64.3岁；标准差±11.7）。79例患者接受同期THA治疗（A组），81例患者接受分期THA治疗（B组）。两组基线特征无差异（p>0.050）。A组更有可能接受全身麻醉（43%对9.9%，p<0.001），总手术时间更长（182.8对128.0分钟，p<0.001）。A组的总住院时间总体较短（5.8对8.6天，p<0.001）。未发现输血率差异（p = 0.229），主要和次要并发症也无差异（p>0.05）。两组在急诊科的术后就诊或再入院情况相似（p>0.050）。
本研究表明，同期和分期THA后的并发症和再入院率相似。同期双侧THA是一种安全有效的手术方法，对于存在放射学和临床双侧髋关节疾病的患者应予以考虑。
