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. 2015 Jul;30(7):1211-4.
doi: 10.1016/j.arth.2015.02.015. Epub 2015 Feb 18.

Bilateral Total Hip Arthroplasty has Similar Complication Rates to Unilateral Total Hip Arthroplasty

Alexandra I Stavrakis  1 , Nelson F SooHoo  1 , Jay R Lieberman  2
Affiliations

Bilateral Total Hip Arthroplasty has Similar Complication Rates to Unilateral Total Hip Arthroplasty

Alexandra I Stavrakis et al. J Arthroplasty. 2015 Jul.

Abstract

Simultaneous bilateral THA has several advantages over staged THA, however its safety has not been well examined. This study reports a statewide 15-year experience of simultaneous bilateral THA and compares its complications to those of unilateral THA. Logistic regression was used to determine the role of bilateral surgery as a predictor of complications while correcting for patient comorbidities. Of 202,986 patients, 1.1% underwent bilateral THA. Bilateral THA was more commonly performed in males, younger patients, those with private insurance, and at higher volume hospitals. There was no difference in 30-day readmissions or revision surgeries. There was a higher rate of sepsis in the bilateral group but no difference in other complications. This study demonstrates that THA is a safe option in appropriately selected patients.

Keywords: bilateral; complications; outcomes; readmission; total hip arthroplasty.

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