一期双侧全髋关节置换术。
ONE STAGE BILATERAL TOTAL HIP REPLACEMENT.
作者信息
Devito Fabio Stucchi, Devito Fabio Stucchi, Devito Eduardo Dias, Bonvicine Cristiane
机构信息
Faculdade de Medicina de Sao Jose do Rio Preto FAMERP, Departamento de Ortopedia e Traumatologia, Sao Jose do Rio Preto, SP, Brazil.
Hospital do Servidor Publico Estadual, Departamento de Ortopedia, Sao Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2024 Oct 7;32(4):e278347. doi: 10.1590/1413-785220243204e278347. eCollection 2024.
INTRODUCTION
One-stage bilateral total hip replacement has gained popularity due to its advantages, which include its lower cost, anesthetic time, hospitalization, and recovery.
OBJECTIVE
to show the clinical result of one-stage bilateral total hip replacement.
METHODOLOGY
A case series of patients who underwent one-stage bilateral total hip arthroplasty. The medical records of 100 patients were evaluated from 2001 to 2022. The posterolateral route was chosen for the procedures. Of the 100 replaced prostheses, 85% were hybrid and 15 were cemented. Procedures averaged 180 minutes in length.
RESULTS
The average length of stay totaled three days. No deaths occurred in the 100 evaluated patients. Complications showed 1% rate of venous and pulmonary thromboembolism, one case of late dislocation (after three months. It was twice reduced and later revised), five cases of hematoma (5%. They were drained on the third postoperative day. Moreover, two occurred in both hips).
CONCLUSION
One-stage bilateral total hip replacement has advantages but it must be performed on carefully selected patients and by a qualified team.
引言
一期双侧全髋关节置换术因其具有成本较低、麻醉时间较短、住院时间较短以及恢复较快等优势而越来越受欢迎。
目的
展示一期双侧全髋关节置换术的临床效果。
方法
对一组接受一期双侧全髋关节置换术的患者进行病例系列研究。对2001年至2022年期间100例患者的病历进行评估。手术采用后外侧入路。在100个置换的假体中，85%为混合型，15个为骨水泥型。手术平均时长为180分钟。
结果
平均住院时长总计三天。在100例接受评估的患者中无死亡病例。并发症显示静脉和肺血栓栓塞发生率为1%，1例晚期脱位（术后三个月。进行了两次复位，之后进行了翻修），5例血肿（5%。于术后第三天进行引流。此外，双侧均有两例发生）。
结论
一期双侧全髋关节置换术具有优势，但必须在精心挑选的患者身上由合格的团队进行手术。
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