title: One stage bilateral total hip arthroplasty, is it safe? A meta-analysis.
abstract: Controversy has prevailed for many years relating to the safety of one-stage and two-stage total hip arthroplasty (THA) for bilateral disease. We performed a meta-analysis of 1460 studies of which 5 prospective studies met our inclusion criteria. A total of 579 patients had two-stage procedures and 334 had one-stage surgery. The studies showed a low heterogeneity (I2 =0%) allowing pooling of data. No differences were found in the incidence of major complications (odds ratio 0.72 95%CI: 0.45-1.15). One-stage bilateral THA may therefore be a safe procedure.
authors.affiliation: Academic Medical Centre, Department of Orthopaedic Surgery, Amsterdam, The Netherlands. Daniel@drhaverkamp.com
authors.forename: Daniël
authors.initials: D
authors.lastname: Haverkamp
authors.forename: Michel P J
authors.initials: MP
authors.lastname: van den Bekerom
authors.forename: Ivo
authors.initials: I
authors.lastname: Harmse
authors.forename: Matthias U
authors.initials: MU
authors.lastname: Schafroth
mesh_terms: D000203:Activities of Daily Living; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D002986:Clinical Trials as Topic; D016206:Databases, Bibliographic; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016017:Odds Ratio; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome