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Hefny M, Syed F, Ugwuoke A, Saunders P, Young SK. Clinical outcomes and cost analysis of one- versus two-stage bilateral hip arthroplasty. A retrospective study of a single surgeon experience. Journal of Orthopaedics, Trauma and Rehabilitation 2020. [DOI: 10.1177/2210491720971837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose: One in 10 patients presenting for total hip arthroplasty (THA) will have significant osteoarthritis in both hips. In appropriately selected individuals, one-stage bilateral THA is a treatment option. This study aims to compare outcomes of one-stage bilateral THA with two-stage procedure. Methods: A retrospective review of a single surgeon series was conducted comparing One-stage bilateral THA (n = 59) with two-stage bilateral THA (n = 50). The primary outcomes were post-operative complication and the Oxford Hip Score. The secondary outcome was a financial analysis. Results: Complications were infrequent and comparable between both groups. Oxford hip scores were slightly higher in the one-stage group. One-staged bilateral THA had a lower cost but hospital tariff is higher for two-stage bilateral THA. Conclusion: In appropriately selected patients with bilateral hip arthritis, one-stage bilateral THA gives good clinical outcomes. However, the current payment system in the NHS makes two-stage bilateral THA more financially viable to the hospital.
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Affiliation(s)
- M Hefny
- Orthopaedic Department, South Warwickshire NHS Foundation Trust, Warwick, United Kingdom
| | - F Syed
- Orthopaedic Department, South Warwickshire NHS Foundation Trust, Warwick, United Kingdom
| | - A Ugwuoke
- Orthopaedic Department, South Warwickshire NHS Foundation Trust, Warwick, United Kingdom
| | - P Saunders
- Orthopaedic Department, South Warwickshire NHS Foundation Trust, Warwick, United Kingdom
| | - SK Young
- Orthopaedic Department, South Warwickshire NHS Foundation Trust, Warwick, United Kingdom
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