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Latest Orthopaedic Literature & Orthopaedic Practice Trends | Orthogate Professionals

Details
By OrthoBuzz for Surgeons
OrthoBuzz for Surgeons
Literature
17 January 2017

Single-Anesthetic Bilateral THA as Complication-Free as Staged Procedures

Single_Anesth_vs_Staged_Bilateral_THA.pngSingle-anesthetic bilateral total hip arthroplasty (THA) has had a historically high perioperative complication profile. However, a matched cohort study by Houdek et al. in the January 4, 2017 edition of JBJS comparing single-anesthetic versus staged bilateral THA over four years found no significant differences between the two procedures in terms of:

  • Risks of revision, reoperation, or complications (including DVT/PE, dislocation, periprosthetic fracture, and infection; see graph, where blue line represents single-anesthetic and red line indicates staged)
  • Perioperative mortality
  • Discharge to home versus rehab

The single-anesthetic group (94 patients, 188 hips) experienced shorter total operating room time and hospital length of stay than the matched cohort, and consequently the single-anesthetic approach lowered the relative total cost of care by 27%.

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Last Updated: 17 January 2017
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