Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head
Abstract Background The optimal surgical option for patients requiring bilateral hip replacement remains controversial. The purpose of this study was to compare surgical accuracy; functional outcome and health-related quality of life; and prosthetic-related complications and revision surgery of a si...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-06-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-017-1605-2 |
| _version_ | 1811205008574644224 |
|---|---|
| author | Seung-Chan Kim Young-Wook Lim Woo-Lam Jo Dong-Chul Park Jin-Woo Lee Won-Woo Kang Yong-Sik Kim |
| author_facet | Seung-Chan Kim Young-Wook Lim Woo-Lam Jo Dong-Chul Park Jin-Woo Lee Won-Woo Kang Yong-Sik Kim |
| author_sort | Seung-Chan Kim |
| collection | DOAJ |
| description | Abstract Background The optimal surgical option for patients requiring bilateral hip replacement remains controversial. The purpose of this study was to compare surgical accuracy; functional outcome and health-related quality of life; and prosthetic-related complications and revision surgery of a simultaneous bilateral total hip arthroplasty (THA) with those of a staged bilateral THA with an interval between procedures <12 months. Methods A total of 123 unselected consecutive patients (mean age, 43.3 years) who underwent bilateral THAs for osteonecrosis of the femoral head (ONFH) with a minimum follow-up of two years (mean, 60.2 months) were studied retrospectively; 63 simultaneous procedures served as a test group and 60 staged procedures served as a control group. Results The mean postoperative leg-length discrepancy (LLD) and the percentage of patients who had an LLD >3 mm were significantly lower in the simultaneous group (P < 0.001 and P = 0.001, respectively). A higher number of cups within the safe zones, a higher correction rate, and a lower failure rate for the cup placement in the second-operated hip were also identified in the simultaneous group. The mean Harris hip score, EuroQol-5D index, and EuroQol-visual analogue scale score were all better in the simultaneous group at the latest follow-up (P < 0.001, in all comparisons). We found that the simultaneous procedure was associated with a lower incidence of postoperative prosthetic-related complications and revision surgery. Conclusions We suggest that bilateral ONFH could be treated with a simultaneous THA rather than a staged THA to achieve a better surgical outcome. |
| first_indexed | 2024-04-12T03:23:21Z |
| format | Article |
| id | doaj.art-d5776d73a65b4228a35d3249ed1176a8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T03:23:21Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-d5776d73a65b4228a35d3249ed1176a82022-12-22T03:49:50ZengBMCBMC Musculoskeletal Disorders1471-24742017-06-011811910.1186/s12891-017-1605-2Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral headSeung-Chan Kim0Young-Wook Lim1Woo-Lam Jo2Dong-Chul Park3Jin-Woo Lee4Won-Woo Kang5Yong-Sik Kim6Department of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaAbstract Background The optimal surgical option for patients requiring bilateral hip replacement remains controversial. The purpose of this study was to compare surgical accuracy; functional outcome and health-related quality of life; and prosthetic-related complications and revision surgery of a simultaneous bilateral total hip arthroplasty (THA) with those of a staged bilateral THA with an interval between procedures <12 months. Methods A total of 123 unselected consecutive patients (mean age, 43.3 years) who underwent bilateral THAs for osteonecrosis of the femoral head (ONFH) with a minimum follow-up of two years (mean, 60.2 months) were studied retrospectively; 63 simultaneous procedures served as a test group and 60 staged procedures served as a control group. Results The mean postoperative leg-length discrepancy (LLD) and the percentage of patients who had an LLD >3 mm were significantly lower in the simultaneous group (P < 0.001 and P = 0.001, respectively). A higher number of cups within the safe zones, a higher correction rate, and a lower failure rate for the cup placement in the second-operated hip were also identified in the simultaneous group. The mean Harris hip score, EuroQol-5D index, and EuroQol-visual analogue scale score were all better in the simultaneous group at the latest follow-up (P < 0.001, in all comparisons). We found that the simultaneous procedure was associated with a lower incidence of postoperative prosthetic-related complications and revision surgery. Conclusions We suggest that bilateral ONFH could be treated with a simultaneous THA rather than a staged THA to achieve a better surgical outcome.http://link.springer.com/article/10.1186/s12891-017-1605-2Total hip arthroplastyBilateralSimultaneousStagedAccuracyOsteonecrosis of the femoral head |
| spellingShingle | Seung-Chan Kim Young-Wook Lim Woo-Lam Jo Dong-Chul Park Jin-Woo Lee Won-Woo Kang Yong-Sik Kim Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head BMC Musculoskeletal Disorders Total hip arthroplasty Bilateral Simultaneous Staged Accuracy Osteonecrosis of the femoral head |
| title | Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head |
| title_full | Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head |
| title_fullStr | Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head |
| title_full_unstemmed | Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head |
| title_short | Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head |
| title_sort | surgical accuracy function and quality of life of simultaneous versus staged bilateral total hip arthroplasty in patients with osteonecrosis of the femoral head |
| topic | Total hip arthroplasty Bilateral Simultaneous Staged Accuracy Osteonecrosis of the femoral head |
| url | http://link.springer.com/article/10.1186/s12891-017-1605-2 |
| work_keys_str_mv | AT seungchankim surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT youngwooklim surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT woolamjo surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT dongchulpark surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT jinwoolee surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT wonwookang surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead AT yongsikkim surgicalaccuracyfunctionandqualityoflifeofsimultaneousversusstagedbilateraltotalhiparthroplastyinpatientswithosteonecrosisofthefemoralhead |