ONE STAGE BILATERAL TOTAL HIP REPLACEMENT.

Abstract

Introduction: One-stage bilateral total hip replacement has gained popularity due to its advantages, which include its lower cost, anesthetic time, hospitalization, and recovery.

Objective: to show the clinical result of one-stage bilateral total hip replacement.

Methodology: A case series of patients who underwent one-stage bilateral total hip arthroplasty. The medical records of 100 patients were evaluated from 2001 to 2022. The posterolateral route was chosen for the procedures. Of the 100 replaced prostheses, 85% were hybrid and 15 were cemented. Procedures averaged 180 minutes in length.

Results: The average length of stay totaled three days. No deaths occurred in the 100 evaluated patients. Complications showed 1% rate of venous and pulmonary thromboembolism, one case of late dislocation (after three months. It was twice reduced and later revised), five cases of hematoma (5%. They were drained on the third postoperative day. Moreover, two occurred in both hips).

Conclusion: One-stage bilateral total hip replacement has advantages but it must be performed on carefully selected patients and by a qualified team. Evidence level IV, Case reports.