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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 One- or two-stage bilateral total hip arthroplastyA PROSPECTIVE, RANDOMISED, CONTROLLED STUDY IN AN ASIAN POPULATIONS. Bhan, MS, FRCS, Professor and Head1; A. Pankaj, MS, DNB, MRCS(Ed), Senior Resident1; and R. Malhotra, MS, Professor11 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:
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