One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up
Abstract Background To date, few knowledge is available about safety and effectiveness of one-staged combined hip and knee arthroplasty. The aim of our study was to evaluate, in a comparative fashion, complications and outcomes in patients who underwent one-staged hip and knee arthroplasty. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2019-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1337-0 |
| _version_ | 1811298011887697920 |
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| author | Stefano Petrillo Matteo Marullo Michele Corbella Paolo Perazzo Sergio Romagnoli |
| author_facet | Stefano Petrillo Matteo Marullo Michele Corbella Paolo Perazzo Sergio Romagnoli |
| author_sort | Stefano Petrillo |
| collection | DOAJ |
| description | Abstract Background To date, few knowledge is available about safety and effectiveness of one-staged combined hip and knee arthroplasty. The aim of our study was to evaluate, in a comparative fashion, complications and outcomes in patients who underwent one-staged hip and knee arthroplasty. Methods Forty-two patients were enrolled and allocated into two groups of 21 patients each: one-staged hip and knee arthroplasty (group A) and two-staged hip and knee arthroplasty (group B). The follow-up averaged 50.2 months. Postoperative complications and implant survivorship were assessed prospectively. Outcomes were evaluated with Harris Hip score (HSS), Western Ontario Mc-Ministry score for the hip (h-WOMAC), Knee Society score (KSS), and Western Ontario Mc-Ministry knee score (k-WOMAC). Hip and knee range of motion (ROM) were measured both preoperatively and at the last follow-up. Results Two (9.5%) patients in group A and three (14.3%) patients in group B developed complications (P = 0.8). Although a significant decrease in postoperative haemoglobin (Hgb) values was found in group A patients during the hospital stay, no differences in blood transfusions were found (P = 0.8). No significant differences were found comparing clinical-functional outcomes between the two groups, while a significant reduction of hospital length of stay was shown in group A patients. Conclusions One-staged combined hip and knee arthroplasty could be considered in patients with co-existing severe hip and knee osteoarthritis, providing similar complications and mid-term outcomes of two-staged procedures. However, the reproducibility safety and reliability of these procedures should be confirmed in prospective comparative randomised trials with more numerous patients. Trial registration Retrospectively registered |
| first_indexed | 2024-04-13T06:13:23Z |
| format | Article |
| id | doaj.art-6c3ee8ad715d4526a5651a53bdd7df1a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:13:23Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-6c3ee8ad715d4526a5651a53bdd7df1a2022-12-22T02:58:56ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-09-011411810.1186/s13018-019-1337-0One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-upStefano Petrillo0Matteo Marullo1Michele Corbella2Paolo Perazzo3Sergio Romagnoli4Prosthetic Surgery Centre, IRCCS Orthopedic Institute GaleazziProsthetic Surgery Centre, IRCCS Orthopedic Institute GaleazziProsthetic Surgery Centre, IRCCS Orthopedic Institute GaleazziAnaesthesiology and Intensive Care Unit, IRCCS Orthopedic Institute GaleazziProsthetic Surgery Centre, IRCCS Orthopedic Institute GaleazziAbstract Background To date, few knowledge is available about safety and effectiveness of one-staged combined hip and knee arthroplasty. The aim of our study was to evaluate, in a comparative fashion, complications and outcomes in patients who underwent one-staged hip and knee arthroplasty. Methods Forty-two patients were enrolled and allocated into two groups of 21 patients each: one-staged hip and knee arthroplasty (group A) and two-staged hip and knee arthroplasty (group B). The follow-up averaged 50.2 months. Postoperative complications and implant survivorship were assessed prospectively. Outcomes were evaluated with Harris Hip score (HSS), Western Ontario Mc-Ministry score for the hip (h-WOMAC), Knee Society score (KSS), and Western Ontario Mc-Ministry knee score (k-WOMAC). Hip and knee range of motion (ROM) were measured both preoperatively and at the last follow-up. Results Two (9.5%) patients in group A and three (14.3%) patients in group B developed complications (P = 0.8). Although a significant decrease in postoperative haemoglobin (Hgb) values was found in group A patients during the hospital stay, no differences in blood transfusions were found (P = 0.8). No significant differences were found comparing clinical-functional outcomes between the two groups, while a significant reduction of hospital length of stay was shown in group A patients. Conclusions One-staged combined hip and knee arthroplasty could be considered in patients with co-existing severe hip and knee osteoarthritis, providing similar complications and mid-term outcomes of two-staged procedures. However, the reproducibility safety and reliability of these procedures should be confirmed in prospective comparative randomised trials with more numerous patients. Trial registration Retrospectively registeredhttp://link.springer.com/article/10.1186/s13018-019-1337-0Hip arthroplastyKnee arthroplastyOne-stagedOutcomes |
| spellingShingle | Stefano Petrillo Matteo Marullo Michele Corbella Paolo Perazzo Sergio Romagnoli One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up Journal of Orthopaedic Surgery and Research Hip arthroplasty Knee arthroplasty One-staged Outcomes |
| title | One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up |
| title_full | One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up |
| title_fullStr | One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up |
| title_full_unstemmed | One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up |
| title_short | One-staged combined hip and knee arthroplasty: retrospective comparative study at mid-term follow-up |
| title_sort | one staged combined hip and knee arthroplasty retrospective comparative study at mid term follow up |
| topic | Hip arthroplasty Knee arthroplasty One-staged Outcomes |
| url | http://link.springer.com/article/10.1186/s13018-019-1337-0 |
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