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 90-B, Issue 8, 1005-1012.
doi: 10.1302/0301-620X.90B8.20552  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzechGreek
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 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 Google Scholar
Google Scholar
Right arrow Articles by Tsiridis, E.
Right arrow Articles by West, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tsiridis, E.
Right arrow Articles by West, R.

The safety and efficacy of bilateral simultaneous total hip replacement

AN ANALYSIS OF 2063 CASES

E. Tsiridis, MD, MSc, PhD, FRCS, Consultant Orthopaedic and Trauma Surgeon, Senior Lecturer1; G. Pavlou, MRCS, Specialist Registrar1; J. Charity, MRCS, Fellow2; Ev. Tsiridis, MD, Consultant Anaesthetist3; G. Gie, FRCS(Orth), Consultant Orthopaedic and Trauma Surgeon2; and R. West, DPhil, CMath,FIMA, Reader in Health Statistics4

1 Academic Department of Trauma and Orthopaedics Leeds General Infirmary, Leeds School of Medicine, Leeds University, Great George Street, Leeds LS1 3EX, UK.
2 Princess Elizabeth Orthopaedic Centre, Hip Unit, Royal Devon and Exeter Hospital, Exeter EX2 5DS, UK.
3 Cardio-Thoracic Anaesthetist Unit Blue Cross Hospital, 1 Viziis Street, Thessaloniki 54636, Greece.
4 Institute of Health Sciences, Centre for Epidemiology and Biostatistics, Leeds University, Leeds LS1 3EX, UK.

Correspondence should be sent to Mr E. Tsiridis; e-mail: etsiridis{at}doctors.org.uk

Comparison of the safety and efficacy of bilateral simultaneous total hip replacement (THR) and that of staged bilateral THR and unilateral THR was conducted using DerSimonian-Laird heterogeneity meta-analysis. A review of the English-language literature identified 23 citations eligible for inclusion. A total of 2063 bilateral simultaneous THR patients were identified. Meta-analysis of homogeneous data revealed no statistically significant differences in the rates of thromboembolic events (p = 0.268 and p = 0.365) and dislocation (p = 0.877) when comparing staged or unilateral with bilateral simultaneous THR procedures. A systematic analysis of heterogeneous data demonstrated that the mean length of hospital stay was shorter after bilateral simultaneous THR. Higher blood transfusion requirements were expected following bilateral simultaneous THR than staged or unilateral THR, and surgical time was not different between groups. This procedure was also found to be economically and functionally efficacious when performed by experienced surgeons in specialist centres.






(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