Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 298-303.
doi: 10.1302/0301-620X.88B3.17048  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzech
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (7)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bhan, S.
Right arrow Articles by Malhotra, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bhan, S.
Right arrow Articles by Malhotra, R.

One- or two-stage bilateral total hip arthroplasty

A PROSPECTIVE, RANDOMISED, CONTROLLED STUDY IN AN ASIAN POPULATION

S. Bhan, MS, FRCS, Professor and Head1; A. Pankaj, MS, DNB, MRCS(Ed), Senior Resident1; and R. Malhotra, MS, Professor1

1 Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Correspondence should be sent to Professor R. Malhotra; e-mail: rmalhotra62{at}yahoo.com

We compared the safety and outcome of one-stage bilateral total hip arthroplasty with those of a two-stage procedure during different admissions in a prospective, randomised controlled trial in an Asian population. Of 168 patients included in the study, 83 had a single- and 85 a two-stage procedure. Most of the patients (59.9%) suffered from inflammatory arthritis.

The intra-operative complications, early systemic complications, the operating time, positioning of the components, the functional score, restoration of limb length and survival rates at 96 months were similar in the two groups. The total estimated blood loss was significantly lower in patients undergoing a one-stage procedure than in patients who had a two-stage procedure, but the transfusion requirements were significantly higher in the former group (p = 0.001). The hospital stay was significantly shorter in the one-stage group, 7.25 days (SD 1.30; 5 to 20) compared with 10 days (SD 1.65; 8 to 24) in the two-stage group (p = 0.023). We believe that a one-stage procedure is safe and appropriate in our population.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
Y.-H. Kim, O.-R. Kwon, and J.-S. Kim
Is one-stage bilateral sequential total hip replacement as safe as unilateral total hip replacement?
J Bone Joint Surg Br, March 1, 2009; 91-B(3): 316 - 320.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
E. Tsiridis, G. Pavlou, J. Charity, Ev. Tsiridis, G. Gie, and R. West
The safety and efficacy of bilateral simultaneous total hip replacement: AN ANALYSIS OF 2063 CASES
J Bone Joint Surg Br, August 1, 2008; 90-B(8): 1005 - 1012.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
C. W. McBryde, K. Dehne, A. M. Pearson, R. B. C. Treacy, and P. B. Pynsent
One- or two-stage bilateral metal-on-metal hip resurfacing arthroplasty
J Bone Joint Surg Br, September 1, 2007; 89-B(9): 1144 - 1148.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General