Rajendra Kumar Kanojia
Post Graduate Institute of Medical Education and Research , IndiaTitle: Same siting bilateral hip replacement advances and disadvantages in Asian populations
Abstract
A population especially in Indian
subcontinent the habit of squatting for the various social and day today
activities makes it more pertinent to operate bilateral AVN hips at same
sitting as this not only helps economically in using the same surgical kit and
antibiotics and drapes etc. reducing the cost of surgery and also helps in
post-operative management. Patient becomes mobile with both
the hip painless and active. Simultaneous bilateral hip replacement reveals
superior outcome and fewer complications than two-stage procedures: a
prospective study including 1819 patients and 5801 follow-ups from a total
joint replacement registry, Melloh Markus2010-10-01 Total joint replacements
represent a considerable part of day-to-day orthopaedic routine and a
substantial proportion of patients undergoing unilateral total hip arthroplasty
require a contralateral treatment after the first operation. This report
compares complications and functional outcome of simultaneous versus early and
delayed two-stage bilateral THA over a five-year follow-up period.
Material and Method -The study is
a post hoc analysis of prospectively collected data is from the department of
orthopaedics from a single surgeon. Total number of cases was 21, all were
between the age group of 36-68 (avg. 52), operated by the posterior approach,
implant used was same in all (Stryker ).follow-up is of 24-36 months (Avg 30
months)
Results -Total duration of
surgery being 2.5 hours, post-operative period was non-significant all
responded well, only there was unilateral infection ,one case of common
peroneal nerve injury in our initial few cases ,which was give brace support
and after three months that improved.
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