Bilateral simultaneous total hip arthroplasty in a fast track setting

Kristian S Otte; Henrik Husted; Thue Ørsnes; Henrik Kehlet; Niels Kristian Stahl Otte

doi:10.5301/hip.2011.8393

Bilateral simultaneous total hip arthroplasty in a fast track setting

Kristian S Otte, Henrik Husted, Thue Ørsnes, Henrik Kehlet, Niels Kristian Stahl Otte

12 Citations (Scopus)

Abstract

Simultaneous bilateral hip arthroplasty has been reported to have varying results in the literature when performed using conventional postoperative care. Unilateral hip and knee arthroplasty as well as bilateral simultaneous knee arthroplasty may be associated with reduced length of stay and low complication rates when performed in a fast-track setting. We believed it would be useful to assess hip arthroplasty in this context, and we report 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures. The median length of stay was 4 days. Mortality within 90 days was 4% and 8% required a further operative procedure. The overall complication rate was 22%. 55% of the complications were considered to be caused by failures in surgical technique and 45% by other factors. Bilateral simultaneous hip arthroplasty may have a high complication rate in a fast-track setting and further evaluation may be warranted.

Original language	English
Journal	Hip International
Volume	21
Issue number	3
Pages (from-to)	336-339
Number of pages	4
ISSN	1120-7000
DOIs	https://doi.org/10.5301/hip.2011.8393
Publication status	Published - May 2011

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title = "Bilateral simultaneous total hip arthroplasty in a fast track setting",

abstract = "Simultaneous bilateral hip arthroplasty has been reported to have varying results in the literature when performed using conventional postoperative care. Unilateral hip and knee arthroplasty as well as bilateral simultaneous knee arthroplasty may be associated with reduced length of stay and low complication rates when performed in a fast-track setting. We believed it would be useful to assess hip arthroplasty in this context, and we report 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures. The median length of stay was 4 days. Mortality within 90 days was 4% and 8% required a further operative procedure. The overall complication rate was 22%. 55% of the complications were considered to be caused by failures in surgical technique and 45% by other factors. Bilateral simultaneous hip arthroplasty may have a high complication rate in a fast-track setting and further evaluation may be warranted.",

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T1 - Bilateral simultaneous total hip arthroplasty in a fast track setting

AU - Otte, Kristian S

AU - Husted, Henrik

AU - Ørsnes, Thue

AU - Kehlet, Henrik

AU - Otte, Niels Kristian Stahl

PY - 2011/5

Y1 - 2011/5

N2 - Simultaneous bilateral hip arthroplasty has been reported to have varying results in the literature when performed using conventional postoperative care. Unilateral hip and knee arthroplasty as well as bilateral simultaneous knee arthroplasty may be associated with reduced length of stay and low complication rates when performed in a fast-track setting. We believed it would be useful to assess hip arthroplasty in this context, and we report 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures. The median length of stay was 4 days. Mortality within 90 days was 4% and 8% required a further operative procedure. The overall complication rate was 22%. 55% of the complications were considered to be caused by failures in surgical technique and 45% by other factors. Bilateral simultaneous hip arthroplasty may have a high complication rate in a fast-track setting and further evaluation may be warranted.

AB - Simultaneous bilateral hip arthroplasty has been reported to have varying results in the literature when performed using conventional postoperative care. Unilateral hip and knee arthroplasty as well as bilateral simultaneous knee arthroplasty may be associated with reduced length of stay and low complication rates when performed in a fast-track setting. We believed it would be useful to assess hip arthroplasty in this context, and we report 50 consecutive fast-track simultaneous bilateral hip arthroplasty procedures. The median length of stay was 4 days. Mortality within 90 days was 4% and 8% required a further operative procedure. The overall complication rate was 22%. 55% of the complications were considered to be caused by failures in surgical technique and 45% by other factors. Bilateral simultaneous hip arthroplasty may have a high complication rate in a fast-track setting and further evaluation may be warranted.

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DO - 10.5301/hip.2011.8393

M3 - Journal article

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SN - 1120-7000

VL - 21

SP - 336

EP - 339

JO - HIP International

JF - HIP International

IS - 3

ER -

Bilateral simultaneous total hip arthroplasty in a fast track setting

Abstract

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