ONE STAGE BILATERAL TOTAL HIP REPLACEMENT.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243204e278347

Fabio Stucchi Devito, Fabio Stucchi Devito, Eduardo Dias Devito, Cristiane Bonvicine

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引用次数: 0

Abstract

Introduction: One-stage bilateral total hip replacement has gained popularity due to its advantages, which include its lower cost, anesthetic time, hospitalization, and recovery.

Objective: to show the clinical result of one-stage bilateral total hip replacement.

Methodology: A case series of patients who underwent one-stage bilateral total hip arthroplasty. The medical records of 100 patients were evaluated from 2001 to 2022. The posterolateral route was chosen for the procedures. Of the 100 replaced prostheses, 85% were hybrid and 15 were cemented. Procedures averaged 180 minutes in length.

Results: The average length of stay totaled three days. No deaths occurred in the 100 evaluated patients. Complications showed 1% rate of venous and pulmonary thromboembolism, one case of late dislocation (after three months. It was twice reduced and later revised), five cases of hematoma (5%. They were drained on the third postoperative day. Moreover, two occurred in both hips).

Conclusion: One-stage bilateral total hip replacement has advantages but it must be performed on carefully selected patients and by a qualified team. Evidence level IV, Case reports.

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一期双侧全髋关节置换术

导言：单期双侧全髋关节置换术因其费用低、麻醉时间短、住院时间短、恢复快等优点而备受青睐。目的：显示单期双侧全髋关节置换术的临床效果：方法：对接受一段式双侧全髋关节置换术的患者进行病例系列研究。对 2001 年至 2022 年期间 100 例患者的病历进行了评估。手术选择后外侧路径。在100例置换的假体中，85%为混合型，15例为骨水泥型。手术时间平均为180分钟：结果：平均住院时间为三天。100 名接受评估的患者中无死亡病例。并发症显示，静脉和肺血栓栓塞发生率为1%，1例晚期脱位（3个月后，曾两次缩小，后来又进行了修整），5例血肿（5%，在术后第3天引流）。术后第三天进行了引流。结论：结论：一期双侧全髋关节置换术有其优点，但必须由合格的团队为精心挑选的患者实施。证据等级 IV，病例报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.