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- W4311778001 abstract "Background The ideal timing for bilateral total hip arthroplasty (THA) remains controversial. This study compared 90-day outcomes after simultaneous bilateral THA and contralateral surgery in staged bilateral THA to a matched cohort of unilateral procedures. Methods Patients undergoing primary, elective THA during 2015 to 2020 were reviewed in a national database. Of the 273,281 patients identified, 39,905 (14.6%) were bilateral. Patients were divided into cohorts of unilateral THA, simultaneous bilateral THA, and staged bilateral THA at 1 to 14 days, 15 to 42 days, 43 to 90 days, and 91 to 365 days. Bilateral THA cohorts were matched with unilateral THA patients based on demographics and comorbidities. Ninety-day outcomes after the second THA were compared between matched groups. Results Simultaneous bilateral THA resulted in higher rates of transfusion (odds ratio [OR] 4.43, 95% confidence interval 2.31-2.63, p<0.001), readmission (OR 2.60, 2.01-3.39, p<0.001), and any complication (OR 1.86, 1.55-2.24, p<0.001) compared to unilateral THA. Contralateral THA staged at 1 to 14 days increased the risk of readmission (OR 1.83, 1.49-2.24, p<0.001) and any complication (OR 1.45, 1.26-1.66, p<0.001) relative to unilateral THA. Contralateral THA staged at 15 to 42 days increased the risk of periprosthetic joint infection (OR 3.15, 1.98-5.19, p<0.001), readmission (OR 1.92, 1.55-2.39, p<0.001), and any complication (OR 1.70, 1.46-1.97, p<0.001). Contralateral THA staged beyond 42 days resulted in similar or decreased rates of adverse events relative to unilateral THA. Conclusions Bilateral THA should be staged a minimum of 6 weeks apart in appropriately selected patients to avoid an increased risk of adverse events after the second THA compared to unilateral THA." @default.
- W4311778001 created "2022-12-28" @default.
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- W4311778001 date "2023-07-01" @default.
- W4311778001 modified "2023-10-17" @default.
- W4311778001 title "Contralateral Total Hip Arthroplasty Staged Within Six Weeks Increases the Risk of Adverse Events Compared to Unilateral Surgery" @default.
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- W4311778001 doi "https://doi.org/10.1016/j.arth.2022.12.024" @default.
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