One-staged contralateral or ipsilateral total hip and total knee arthroplasty.
One-staged ipsilateral and contralateral total hip and total knee arthroplasties were compared. A total of 103 patients underwent a 1-staged total knee arthroplasty and total hip arthroplasty between January 1975 and July 1997 (67 contralateral and 36 ipsilateral patients). No prostheses were found to be loose or revised. The contralateral group had a 10.5% hip dislocation rate, and the ipsilateral group had an 8.3% hip dislocation rate. Most of the patients were discharged home (contralateral, 66%; ipsilateral, 56%). There was no significant difference in survival between the contralateral and ipsilateral groups. There was only 1 death within 3 months of the operation. The severity of these patients' deformity may necessitate these procedures be done at 1 operation with consideration of mortality and morbidity risks.
Ritter
Merrill A
MA
Center for Hip and Knee Surgery, Mooresville, Indiana, USA. Marittermd@aol.com
Herrold
Amy A
AA
Keating
E Michael
EM
Faris
Philip M
PM
Meding
John B
JB
Berend
Michael
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods* / Q000401:mortality; D019645:Arthroplasty, Replacement, Knee / Q000379:methods* / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000453:epidemiology; D006621:Hip Joint; D006801:Humans; D016916:Joint Deformities, Acquired / Q000601:surgery; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate