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

Alexandra I Stavrakis; Nelson F SooHoo; Jay R Lieberman

doi:10.1016/j.arth.2015.02.015

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

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

Authors

Alexandra I Stavrakis¹, Nelson F SooHoo¹, Jay R Lieberman²

Affiliations

¹ Department of Orthopaedic Surgery, University of California Los Angeles, Los Angeles, CA 90095.
² Department of Orthopaedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA.

PMID: 25737389
DOI: 10.1016/j.arth.2015.02.015

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.

MeSH terms

Aged
Arthroplasty, Replacement, Hip / statistics & numerical data*
California / epidemiology
Comorbidity
Female
Humans
Logistic Models
Male
Middle Aged
Patient Readmission / statistics & numerical data
Postoperative Complications / epidemiology*
Reoperation / statistics & numerical data
Retrospective Studies