Simultaneous versus staged bilateral direct anterior Total Hip Arthroplasty: Are early patient-centered outcomes equivalent?

Kamath, AF; Monteiro, EL; Spranger, A; Impellizzeri, F; Leunig, M

Simultaneous versus staged bilateral direct anterior Total Hip Arthroplasty: Are early patient-centered outcomes equivalent?

Kamath, AF Monteiro, EL Spranger, A Impellizzeri, F

Leunig, M

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Publisher:: ACTA MEDICA BELGICA
Publication Type:: Journal Article
Citation:: Acta Orthop Belg, 2016, 82, (3), pp. 497-508
Issue Date:: 2016-09

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Field	Value	Language
dc.contributor.author	Kamath, AF
dc.contributor.author	Monteiro, EL
dc.contributor.author	Spranger, A
dc.contributor.author	Impellizzeri, F https://orcid.org/0000-0002-1703-2573
dc.contributor.author	Leunig, M
dc.date.accessioned	2022-07-20T22:58:46Z
dc.date.available	2022-07-20T22:58:46Z
dc.date.issued	2016-09
dc.identifier.citation	Acta Orthop Belg, 2016, 82, (3), pp. 497-508
dc.identifier.issn	0001-6462
dc.identifier.uri	http://hdl.handle.net/10453/159075
dc.description.abstract	While accumulating data on the direct anterior approach to total hip arthroplasty (THA) have demonstrated clinical benefit and durable results, there is little data that exists on patient-centered outcomes and satisfaction when comparing simultaneous bilateral procedures with staged arthroplasty. The aim of this study was to determine whether simultaneous bilateral THA and staged arthroplasty result in equivalent early (1) patient-centered outcomes and patient satisfaction; while maintaining acceptable rates of (2) objective clinical outcome scores, (2) complication rates; and (3) radiographic results. In retrospective review, 41 patients who underwent bilateral one-stage THA were compared to 44 patients who underwent staged bilateral THA during the same time period. The minimum clinical follow up was two years. Generic (EQ-VAS and EuroQoL-5D index) and condition-specific (Oxford Hip Score) instruments were used to assess patient-reported outcomes. Other variables included length of hospital stay (LOS), operative and anesthetic times, blood loss, intra- and post-operative (local and systemic) complications, and radiographic analysis. No significant differences between the two groups were found for patient-reported outcomes, complications, or radiographic assessment. The simultaneous THA group had shorter LOS and operative and anesthetic times, as well as less blood loss.
dc.format	Print
dc.language	eng
dc.publisher	ACTA MEDICA BELGICA
dc.relation.ispartof	Acta Orthop Belg
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Orthopedics
dc.subject.mesh	Aged
dc.subject.mesh	Arthroplasty, Replacement, Hip
dc.subject.mesh	Blood Loss, Surgical
dc.subject.mesh	Female
dc.subject.mesh	Follow-Up Studies
dc.subject.mesh	Humans
dc.subject.mesh	Length of Stay
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Operative Time
dc.subject.mesh	Patient Outcome Assessment
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Patient-Centered Care
dc.subject.mesh	Postoperative Complications
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Blood Loss, Surgical
dc.subject.mesh	Postoperative Complications
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Length of Stay
dc.subject.mesh	Arthroplasty, Replacement, Hip
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Follow-Up Studies
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Patient-Centered Care
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Operative Time
dc.subject.mesh	Patient Outcome Assessment
dc.title	Simultaneous versus staged bilateral direct anterior Total Hip Arthroplasty: Are early patient-centered outcomes equivalent?
dc.type	Journal Article
utslib.citation.volume	82
utslib.location.activity	Belgium
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-07-20T22:58:45Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	82
utslib.citation.issue	3

Abstract:

While accumulating data on the direct anterior approach to total hip arthroplasty (THA) have demonstrated clinical benefit and durable results, there is little data that exists on patient-centered outcomes and satisfaction when comparing simultaneous bilateral procedures with staged arthroplasty. The aim of this study was to determine whether simultaneous bilateral THA and staged arthroplasty result in equivalent early (1) patient-centered outcomes and patient satisfaction; while maintaining acceptable rates of (2) objective clinical outcome scores, (2) complication rates; and (3) radiographic results. In retrospective review, 41 patients who underwent bilateral one-stage THA were compared to 44 patients who underwent staged bilateral THA during the same time period. The minimum clinical follow up was two years. Generic (EQ-VAS and EuroQoL-5D index) and condition-specific (Oxford Hip Score) instruments were used to assess patient-reported outcomes. Other variables included length of hospital stay (LOS), operative and anesthetic times, blood loss, intra- and post-operative (local and systemic) complications, and radiographic analysis. No significant differences between the two groups were found for patient-reported outcomes, complications, or radiographic assessment. The simultaneous THA group had shorter LOS and operative and anesthetic times, as well as less blood loss.

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http://hdl.handle.net/10453/159075