Long-Term Results Of One Stage Bilateral Total Hip Arthroplasty

Background and aim. The prevalence of hip osteoarthritis is increasing. Accordingly, the need for adequate treatment is also increasing. Since conservative therapy often does not bring the expected success, hip replacement is chosen as an optional method. In patients with indicated bilateral hip pathology, surgery on the other hip becomes necessary sooner or later after unilateral surgery. One stage bilateral total hip arthroplasty allows the patient to achieve improvement at both joints in a single operation without having to revisit the hospital. This work aims to study the long-term outcomes of one-stage bilateral total hip arthroplasty. This work includes medical records analysis and clinical examination of the patients.
Materials and methods. The study included 36 patients who underwent a one-stage bilateral total hip arthroplasty at Traumatology and Orthopedics hospital between 1996 and 2017. All surgeries were performed by a senior orthopaedic trauma surgeon, and the anterior approach was used. Spinal anaesthesia was performed in all patients. Early mobilisation was started on the first postoperative day. Medical record data were evaluated. Also, patients were scheduled for a follow-up visit to Traumatology and Orthopedics Hospital to determine the Harris Hip Score
Results. The results showed that the average hospital stay was 16.5 days. The operative time averaged 2:46 h. The overall incidence of complications was 8.3%, and all complications were detected and corrected in an early postoperative period. Follow-up data showed that the Harris Hip Score for the left and right leg was 96.12 and 96.15 points, respectively. The mean score was 96.14 points, which indicates an excellent outcome and means that pain symptoms and functional limitations decreased, but the range of motion increased in the operated hip joints.
Conclusions. In conclusion, this study shows that one-stage bilateral total hip arthroplasty is safe and has good clinical outcomes. A similar trend has been seen in studies in recent years. The procedure should be performed by a highly experienced team of specialists. We recommend that this approach be considered for the treatment of bilateral hip pathology, as only one hospital stay and a rehabilitation period are required, and the affected joints recover more quickly.