Simultaneous vs staged bilateral hip arthroplasty: monocentric analysis of satisfaction rate and complications.

Bilateral hip arthroplasty Complications Satisfaction rate Simultaneous Staged

Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
26 Apr 2024
Historique:
received: 17 01 2024
accepted: 08 04 2024
medline: 26 4 2024
pubmed: 26 4 2024
entrez: 26 4 2024
Statut: aheadofprint

Résumé

Interest in bilateral total hip arthroplasty (THA) has been increasing over the past decade. This study aims to compare postoperative local and systemic complications, hospital readmissions, and satisfaction assessment in patients undergoing simultaneous versus staged bilateral THA. A retrospective observational study was conducted among patients who underwent simultaneous or staged bilateral THA between 2017 and 2020. Data on perioperative parameters, local and systemic complications, and 30-day hospital readmissions were collected. Patient satisfaction was assessed using Forgotten Joint Score (FJS). The comparison of continuous variables with normal distribution of variance was performed by ANOVA; for variables with abnormal distribution, the nonparametric test Mann-Whitney U was adopted. The distribution of dichotomous variables was analyzed by chi-square test, and statistical significance was calculated by Fisher exact test. The study included 199 patients, of whom 156 underwent staged and 43 simultaneous bilateral THA. A total of 44 patients developed complications (21 systemics, 12 locals, and 20 postoperative anemia). There were no significant differences regarding local (simultaneous 5% vs. staged 6%; p = 0.999) or systemic complications (simultaneous 14% vs. staged 10%; p = 0.408). Only the incidence of postoperative anemia was significantly higher in simultaneous group compared with staged group (p = 0.003). There were no significant differences in FJS between the two groups (p = 0.258). No differences in local or systemic complications nor readmission rates were observed following simultaneous or staged bilateral THA. Simultaneous bilateral THA is non-inferior to staged implants in terms of safety and patient satisfaction.

Identifiants

DOI: 10.1007/s00590-024-03958-y PMID: 38668775
pubmed: 38668775
doi: 10.1007/s00590-024-03958-y
pii: 10.1007/s00590-024-03958-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

Références

Lorenze M, Huo MH, Zatorski LE, Keggi KJ (1998) A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement. Orthopedics 21:1249–1252. https://doi.org/10.3928/0147-7447-19981201-04
doi: 10.3928/0147-7447-19981201-04
Jaffe WL, Charnley J (1971) Bilateral charnley low-friction arthroplasty as a single operative procedure. a report of fifty cases. Bull Hosp Joint Dis 32:198–214
Najfeld M, Kalteis T, Spiegler C et al (2021) The safety of bilateral simultaneous hip and knee arthroplasty versus staged arthroplasty in a high-volume center comparing blood loss, peri- and postoperative complications, and early functional outcome. J Clin Med 10:4507. https://doi.org/10.3390/jcm10194507
doi: 10.3390/jcm10194507
Papalia R, Campi S, Vorini F et al (2020) The role of physical activity and rehabilitation following hip and knee arthroplasty in the elderly. J Clin Med 9:1401. https://doi.org/10.3390/jcm9051401
doi: 10.3390/jcm9051401
Agarwal S, Gupta G, Sharma RK (2016) Comparison between single stage and two stage bilateral total hip replacement- our results and review of literature. Acta Orthop Belg 82:484–490
Miura N, Tagomori K, Ikutomo H et al (2018) Asymmetrical loading during sit-to-stand movement in patients 1 year after total hip arthroplasty. Clin Biomech 57:89–92. https://doi.org/10.1016/j.clinbiomech.2018.06.017
doi: 10.1016/j.clinbiomech.2018.06.017
Zampogna B, Papalia GF, Parisi FR et al (2022) Early return to activity of daily living after total hip arthroplasty: a systematic review and meta-analysis. Hip Int J Clin Exp Res Hip Pathol Ther. https://doi.org/10.1177/11207000221146116
doi: 10.1177/11207000221146116
Pop T, Szymczyk D, Majewska J et al (2018) The assessment of static balance in patients after total hip replacement in the period of 2–3 years after surgery. BioMed Res Int 2018:1–8. https://doi.org/10.1155/2018/3707254
doi: 10.1155/2018/3707254
Ahern S, Ruseckaite R, Ackerman IN (2017) Collecting patient-reported outcome measures: brief communications. Intern Med J 47:1454–1457. https://doi.org/10.1111/imj.13633
doi: 10.1111/imj.13633
Papalia R, Zampogna B, Torre G et al (2021) Preoperative and perioperative predictors of length of hospital stay after primary total hip arthroplasty-our experience on 743 cases. J Clin Med 10:5053. https://doi.org/10.3390/jcm10215053
doi: 10.3390/jcm10215053
Park C-W, Lim S-J, Yoo I et al (2021) Effects of disusing closed suction drainage in simultaneous bilateral total hip arthroplasty: a retrospective cohort study. PLoS ONE 16:e0247845. https://doi.org/10.1371/journal.pone.0247845
doi: 10.1371/journal.pone.0247845
Temporiti F, Zanotti G, Furone R et al (2019) Functional and postural recovery after bilateral or unilateral total hip arthroplasty. J Electromyogr Kinesiol 48:205–211. https://doi.org/10.1016/j.jelekin.2019.08.002
doi: 10.1016/j.jelekin.2019.08.002
Loppini M, Longo UG, Caldarella E et al (2017) Femur first surgical technique: a smart non-computer-based procedure to achieve the combined anteversion in primary total hip arthroplasty. BMC Musculoskelet Disord 18:331. https://doi.org/10.1186/s12891-017-1688-9
doi: 10.1186/s12891-017-1688-9
Quan H, Li B, Couris CM et al (2011) Updating and validating the charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol 173:676–682. https://doi.org/10.1093/aje/kwq433
doi: 10.1093/aje/kwq433
Mayhew D, Mendonca V, Murthy BVS (2019) A review of ASA physical status—historical perspectives and modern developments. Anaesthesia 74:373–379. https://doi.org/10.1111/anae.14569
doi: 10.1111/anae.14569
Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The “Forgotten Joint” as the ultimate goal in joint arthroplasty. J Arthroplasty 27:430-436.e1. https://doi.org/10.1016/j.arth.2011.06.035
doi: 10.1016/j.arth.2011.06.035
Romagnoli S, Zacchetti S, Perazzo P et al (2013) Simultaneous bilateral total hip arthroplasties do not lead to higher complication or allogeneic transfusion rates compared to unilateral procedures. Int Orthop 37:2125–2130. https://doi.org/10.1007/s00264-013-2015-1
doi: 10.1007/s00264-013-2015-1
Houdek MT, Wyles CC, Watts CD et al (2017) Single-anesthetic versus staged bilateral total hip arthroplasty: a matched cohort study. J Bone Jt Surg 99:48–54. https://doi.org/10.2106/JBJS.15.01223
doi: 10.2106/JBJS.15.01223
Micicoi G, De Dompsure RB, Micicoi L et al (2020) One-stage bilateral total hip arthroplasty versus unilateral total hip arthroplasty: a retrospective case-matched study. Orthop Traumatol Surg Res 106:577–581. https://doi.org/10.1016/j.otsr.2020.02.003
doi: 10.1016/j.otsr.2020.02.003
Glait SA, Khatib ON, Bansal A et al (2015) Comparing the incidence and clinical data for simultaneous bilateral versus unilateral total hip arthroplasty in New York state between 1990 and 2010. J Arthroplasty 30:1887–1891. https://doi.org/10.1016/j.arth.2015.05.046
doi: 10.1016/j.arth.2015.05.046
Loppini M, Pisano A, Gandolfi CE et al (2021) Complications, readmission and reoperation rates in one-stage bilateral versus unilateral total hip arthroplasty: a high-volume single center case-control study. Sci Rep 11:6299. https://doi.org/10.1038/s41598-021-85839-6
doi: 10.1038/s41598-021-85839-6
Loppini M, Cannata R, Pisano A et al (2021) Incidence and predictors of blood transfusions in one-stage bilateral total hip arthroplasty: a single center prospective cohort study. Arch Orthop Trauma Surg 142:3549–3554. https://doi.org/10.1007/s00402-021-04255-7
doi: 10.1007/s00402-021-04255-7
Rasouli MR, Maltenfort MG, Ross D et al (2014) Perioperative morbidity and mortality following bilateral total hip arthroplasty. J Arthroplasty 29:142–148. https://doi.org/10.1016/j.arth.2013.04.001
doi: 10.1016/j.arth.2013.04.001
Morcos MW, Hart A, Antoniou J et al (2018) No difference in major complication and readmission rates following simultaneous bilateral vs unilateral total hip arthroplasty. J Arthroplasty 33:2541–2545. https://doi.org/10.1016/j.arth.2018.03.050
doi: 10.1016/j.arth.2018.03.050
Stavrakis AI, SooHoo NF, Lieberman JR (2015) Bilateral total hip arthroplasty has similar complication rates to unilateral total hip arthroplasty. J Arthroplasty 30:1211–1214. https://doi.org/10.1016/j.arth.2015.02.015
doi: 10.1016/j.arth.2015.02.015
Yoshii H, Oinuma K, Tamaki T et al (2016) Comparison of patient satisfaction after unilateral or simultaneous bilateral total hip arthroplasty through a direct anterior approach: evaluation using the japanese orthopaedic association hip disease evaluation questionnaire. J Orthop Sci 21:332–335. https://doi.org/10.1016/j.jos.2016.01.008
doi: 10.1016/j.jos.2016.01.008

Auteurs

B Zampogna (B)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

G F Papalia (GF)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

A Laudisio (A)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy. a.laudisio@policlinicocampus.it.
Research Unit of Geriatrics, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy. a.laudisio@policlinicocampus.it.

A Berton (A)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

A Zampoli (A)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

L Buccolieri (L)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

F Vorini (F)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

A Ferrini (A)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

E Franceschetti (E)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

N Papapietro (N)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

R Papalia (R)

Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo 21, 00128, Rome, Italy.

Classifications MeSH