Complication rates of bilateral total hip versus unilateral total hip arthroplasty are similar.

Flick, Travis R; Ofa, Sione A; Patel, Akshar H; Ross, Bailey J; Sanchez, Fernando L; Sherman, William F · J Orthop · 2020

retrospective_cohort · Level III

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Abstract

Utilize a nationwide database to identify and compare the differences between patient demographics and clinical outcomes for patients undergoing simultaneous bilateral total hip arthroplasty (THA) and unilateral THA. A nationwide administrative claims database was utilized; In-hospital, 90-day, and 1-year post-discharge rates of local and systemic complications were collected and compared with multivariate logistic regression. Incidence of prosthetic joint infection was significantly lower in the bilateral cohort. Length of stay was significantly shorter in the unilateral THA cohort. Surgeons should consider simultaneous bilateral THA a safe and effective procedure for low risk patients with appropriate comorbidities.

Anatomy