Complication rates of bilateral total hip versus unilateral total hip arthroplasty are similar

Travis R Flick; Sione A Ofa; Akshar H Patel; Bailey J Ross; Fernando L Sanchez; William F Sherman

doi:10.1016/j.jor.2020.11.010

Complication rates of bilateral total hip versus unilateral total hip arthroplasty are similar

J Orthop. 2020 Nov 13:22:571-578. doi: 10.1016/j.jor.2020.11.010. eCollection 2020 Nov-Dec.

Authors

Travis R Flick¹, Sione A Ofa¹, Akshar H Patel¹, Bailey J Ross¹, Fernando L Sanchez¹, William F Sherman¹

Affiliation

¹ Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA, 70112, USA.

Abstract

Objective: Utilize a nationwide database to identify and compare the differences between patient demographics and clinical outcomes for patients undergoing simultaneous bilateral total hip arthroplasty (THA) and unilateral THA.

Methods: A nationwide administrative claims database was utilized; In-hospital, 90-day, and 1-year post-discharge rates of local and systemic complications were collected and compared with multivariate logistic regression.

Results: Incidence of prosthetic joint infection was significantly lower in the bilateral cohort. Length of stay was significantly shorter in the unilateral THA cohort.

Conclusion: Surgeons should consider simultaneous bilateral THA a safe and effective procedure for low risk patients with appropriate comorbidities.

Keywords: Length of Stay; Outcomes; Simultaneous; Total Hip Arthroplasty; Unilateral.