Simultaneous versus staged bilateral direct anterior Total Hip Arthroplasty: Are early patient-centered outcomes equivalent?
- 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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19307763_8372808500005671.pdf | Published version | 397.77 kB | Adobe PDF |
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Full metadata record
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 | ||
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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