A special issue on Nursing: Current Scenario and Future Development - Articles are invited.

Bilateral Total Hip Arthroplasty in Femoral Head Avascular Necrosis: Functional Outcomes and Complications

Authors: Afshin Taheriazam and Amin Saeidinia

Int J Med Res Health Sci.51-56 | pdf PDF Full Text

Total hip arthroplasty (THA) is one of the successful and cost-benefit surgical treatments. One-stage bilateral THA
(BTHA) offers many benefits. However, there are concerns about the safety of the procedure and higher
complications. We aimed to evaluate the complications and outcomes of one-stage BTHA with Hardinge approach
for femoral head avascular necrosis patients. A total of 60 patients from April 2009 and May 2013, were underwent
one-stage bilateral total hip arthroplasty (BTHA) in Milad and Erfan hospitals, Tehran, Iran. A prospective analysis
of the functional outcomes and complications of one-stage BTHA through Hardinge approach in patients with
femoral head avascular necrosis (AVN) performed. We evaluated all patients clinically and radiologically with
serial follow-ups. A clinical hip score based upon the modified Harris Hip Score (MHHS) was performed
preoperatively and again postoperatively. During period of study 44 men (73.3%) and 16 women (26.6%) with a
mean age of 31.40±4.08 years (range 25 to 36 years) at the time of presentation were entered. The mean surgical
time was 2.6±0.38 hrs. The mean hospital stay was 3.50±0.72 days. Hemoglobin level decreased significantly after
operation (P= 0.046). There was no reported patient with perioperative death, deep venous thrombosis, pulmonary
embolism, infection, dislocation, periprosthetic fracture or heterotrophic ossification. The mean preoperative
MHHS score was 47.93±7.33 in patients. MHHS score improved to 95.06±3.47 in the last follow-up
(P=0.0001).Our results recommend the use of one-stage BTHA through Hardinge approach in femoral head
avascular necrosis patients.

Keywords: One stage bilateral total hip arthroplasty, clinical outcome, complication, avascular necrosis

International Journal of Medical Research & Health Sciences © 2012-16 [Last updated: July 2016] by AspiringDigital