Single-Anesthetic Versus Staged Bilateral Total Hip Arthroplasty: A Matched Cohort Study

• Published in: Journal of bone and joint surgery. American volume 2017-01, Vol.99 (1), p.48-54
• Main Authors: Houdek, Matthew T., Wyles, Cody C., Watts, Chad D., Wagner, Eric R., Sierra, Rafael J., Trousdale, Robert T., Taunton, Michael J.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Anesthetics - administration & dosage; Anesthetics - economics; Arthroplasty, Replacement, Hip - economics; Arthroplasty, Replacement, Hip - methods; Arthroplasty, Replacement, Hip - rehabilitation; Blood Loss, Surgical; Costs and Cost Analysis; Female; Hip Prosthesis - adverse effects; Hip Prosthesis - economics; Humans; Length of Stay; Male; Middle Aged; Operative Time; Osteoarthritis, Hip - economics; Osteoarthritis, Hip - rehabilitation; Osteoarthritis, Hip - surgery; Postoperative Complications - economics; Postoperative Complications - etiology; Prosthesis Failure - adverse effects; Reoperation; Retrospective Studies; Treatment Outcome; Young Adult
• ISSN: 0021-9355; 1535-1386
• DOI: 10.2106/JBJS.15.01223

There is debate regarding the role of single-anesthetic versus staged bilateral total hip arthroplasty (THA) for patients with end-stage bilateral osteoarthritis. Studies have shown that single-anesthetic bilateral THA is associated with systemic complications, but there are limited data comparing patient outcomes in a matched setting of bilateral THA. We identified 94 patients (188 hips) who underwent single-anesthetic bilateral THA. Fifty-seven percent of the patients were male. Patients had a mean age of 52.2 years and body mass index of 27.1 kg/m. They were matched 1:1 on the basis of sex, age (±1 year), and year of surgery (±3 years) to a cohort of patients undergoing staged bilateral THA. In the staged group, there was