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Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?

Background: Total hip arthroplasty (THA) is known to be the most successful orthopaedic surgery of the last century, but it is still struggling with controversies concerning one-stage bilateral THA. The current study aimed to compare the clinical outcome of patients with unilateral or simultaneous b...

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Autores principales: Reinbacher, Patrick, Hecker, Andrzej, Friesenbichler, Joerg, Smolle, Maria, Leitner, Lukas, Klim, Sebastian, Draschl, Alexander, Colovic, Danijel, Brunnader, Kevin, Leithner, Andreas, Maurer-Ertl, Werner
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918178/
https://www.ncbi.nlm.nih.gov/pubmed/36769676
http://dx.doi.org/10.3390/jcm12031028
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author Reinbacher, Patrick
Hecker, Andrzej
Friesenbichler, Joerg
Smolle, Maria
Leitner, Lukas
Klim, Sebastian
Draschl, Alexander
Colovic, Danijel
Brunnader, Kevin
Leithner, Andreas
Maurer-Ertl, Werner
author_facet Reinbacher, Patrick
Hecker, Andrzej
Friesenbichler, Joerg
Smolle, Maria
Leitner, Lukas
Klim, Sebastian
Draschl, Alexander
Colovic, Danijel
Brunnader, Kevin
Leithner, Andreas
Maurer-Ertl, Werner
author_sort Reinbacher, Patrick
collection PubMed
description Background: Total hip arthroplasty (THA) is known to be the most successful orthopaedic surgery of the last century, but it is still struggling with controversies concerning one-stage bilateral THA. The current study aimed to compare the clinical outcome of patients with unilateral or simultaneous bilateral THA by using short-stem and straight-stem designs and focusing on operation time, blood loss, and length of hospital stay (LOS). Material and Methods: Between 2006 and 2018, 92 patients were enrolled in this study. Forty-six patients underwent a bilateral THA in one session, and forty-six matched patients underwent a unilateral THA. In each of the two groups (unilateral vs. bilateral), 23 patients received either a straight (unilateral: 10 females, 13 males, mean age 63; bilateral: 12 females, 11 males, mean age 53 years) or short stem (unilateral: 11 females, 12 males, mean age 60 years; bilateral: 12 females, 11 males, 53 mean age 62 years). The blood count was checked preoperatively as well as one and three days after surgery. Furthermore, the operation time and LOS were investigated. Results: Compared to THA with straight-stems, short-stem THA showed significantly less blood loss; there was no difference in the LOS of both groups. A significantly shorter operative time was only observed in the bilateral THA. Conclusion: The current study showed that simultaneous bilateral THA appears to be safe and reliable in patients without multiple comorbidities. In addition, short-stem THA appears to be beneficial in terms of clinical performance and outcome, and it appears to be superior to straight-stem THA, regardless of whether the patient underwent unilateral or simultaneous bilateral THA.
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spelling pubmed-99181782023-02-11 Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job? Reinbacher, Patrick Hecker, Andrzej Friesenbichler, Joerg Smolle, Maria Leitner, Lukas Klim, Sebastian Draschl, Alexander Colovic, Danijel Brunnader, Kevin Leithner, Andreas Maurer-Ertl, Werner J Clin Med Article Background: Total hip arthroplasty (THA) is known to be the most successful orthopaedic surgery of the last century, but it is still struggling with controversies concerning one-stage bilateral THA. The current study aimed to compare the clinical outcome of patients with unilateral or simultaneous bilateral THA by using short-stem and straight-stem designs and focusing on operation time, blood loss, and length of hospital stay (LOS). Material and Methods: Between 2006 and 2018, 92 patients were enrolled in this study. Forty-six patients underwent a bilateral THA in one session, and forty-six matched patients underwent a unilateral THA. In each of the two groups (unilateral vs. bilateral), 23 patients received either a straight (unilateral: 10 females, 13 males, mean age 63; bilateral: 12 females, 11 males, mean age 53 years) or short stem (unilateral: 11 females, 12 males, mean age 60 years; bilateral: 12 females, 11 males, 53 mean age 62 years). The blood count was checked preoperatively as well as one and three days after surgery. Furthermore, the operation time and LOS were investigated. Results: Compared to THA with straight-stems, short-stem THA showed significantly less blood loss; there was no difference in the LOS of both groups. A significantly shorter operative time was only observed in the bilateral THA. Conclusion: The current study showed that simultaneous bilateral THA appears to be safe and reliable in patients without multiple comorbidities. In addition, short-stem THA appears to be beneficial in terms of clinical performance and outcome, and it appears to be superior to straight-stem THA, regardless of whether the patient underwent unilateral or simultaneous bilateral THA. MDPI 2023-01-29 /pmc/articles/PMC9918178/ /pubmed/36769676 http://dx.doi.org/10.3390/jcm12031028 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Reinbacher, Patrick
Hecker, Andrzej
Friesenbichler, Joerg
Smolle, Maria
Leitner, Lukas
Klim, Sebastian
Draschl, Alexander
Colovic, Danijel
Brunnader, Kevin
Leithner, Andreas
Maurer-Ertl, Werner
Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title_full Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title_fullStr Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title_full_unstemmed Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title_short Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?
title_sort simultaneous bilateral total hip arthroplasty with straight-stems and short-stems: does the short one do a better job?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918178/
https://www.ncbi.nlm.nih.gov/pubmed/36769676
http://dx.doi.org/10.3390/jcm12031028
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