Analysis of the curative effect of one-stage bilateral total hip arthroplasty
10.3760/cma.j.issn.1673-4904.2010.17.002
- VernacularTitle:一期双侧全髋关节置换术疗效分析
- Author:
Senlin WANG
;
Jinan ZHENG
;
Qingnan HONG
;
Jun FANG
;
Da LI
- Publication Type:Journal Article
- Keywords:
Arthroplasty,replacement,hip;
Osteoarthritis,hip;
Femur head necrosis
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(17):4-6
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the factors influencing the curative effect of one-stage bihteral total hip arthroplasty in a sequential procedure.Methods Thirty-six patients were indicated for one-stage bilateral total hip arthroplasty from February 1998 to March 2008.All cases were made with Smith-Peterson incision.Results The operative time was(3.2±1.2)h.The volume of blood transfusion during operation was (620 4±120)ml.All the 36 patients were followed up for(22.0±6.0)months.Except for 1 case of deep venous thrombosis of lower limbs,1 case of limb length discrepancy,there were no severe complications,such as postoperative infection,pulmonary embelism,dislocation,loosening or subsiding of components.Postoperative Harris scoreg of the joint function[(88.0±3.6)points]was significantly improved compared with their preoperative Harris scores[(28.0±4.2)points](P<0.05).Conclusions One-stage bilateral total hip arthroplasty is an effective method.However.the satisfactory effects can only be achieved by strict case selection,sufficient preoperative preparation,attention to operation procedures,prevention of complications and active recovery after operations.