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Bilateral hip arthroplasty: is 1-week staging the optimum strategy? (Record no. 75421)

MARC details
000 -LEADER
fixed length control field 03773cam a2200181 4500
001 - CONTROL NUMBER
control field NMDX5944
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Atkinson, H.D.
240 ## - UNIFORM TITLE
Uniform title <a href="Journal of Orthopaedic Surgery and Research">Journal of Orthopaedic Surgery and Research</a>
245 ## - TITLE STATEMENT
Title Bilateral hip arthroplasty: is 1-week staging the optimum strategy?
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 5
520 ## - SUMMARY, ETC.
Summary, etc. &lt;div class="collapsible-content"&gt; &lt;p style="line-height:160%"&gt;Seventy-nine patients underwent bilateral hip arthroplasty staged either at 1 week (Group 1) or after greater intervals (as suggested by the patients, mean 44 weeks, range 16-88 weeks) (Group 2), over a five year period at one Institution. Sixty-eight patients (29 bilateral hip resurfacings and 39 total hip replacements) completed questionnaires regarding their post-operative recovery, complications and overall satisfaction with the staging of their surgery. &lt;/p&gt; &lt;p style="line-height:160%"&gt;There was no significant age or ASA grade difference between the patient groups. Complication rates in the two groups were similar and overall satisfaction rates were 84% in Group 1 (n = 32) and 89% in Group 2 (n = 36). Cumulative hospital lengths of stay were significantly longer in Group 1 patients (11.9 days vs 9.1 days)(p &amp;lt; 0.01); this was true for both hip resurfacing and total hip arthroplasty patients, however resurfacing patients stays were significantly shorter in both groups (p &amp;lt; 0.01). Postoperative pain resolved earlier in Group 1 patients at a mean of 20.9 weeks compared with a cumulative 28.9 weeks (15.8 and 13.1 weeks) for Group 2 patients (p = 0.03). &lt;/p&gt; &lt;p style="line-height:160%"&gt;The mean time to return to part-time work was 16.4 weeks for Group 1, and a cumulative 17.2 weeks (8.8 and 8.4 weeks) for Group 2. The time to return to full-time work was significantly shorter for Group 1 patients (21.0 weeks, compared with a cumulative 29.7 weeks for Group 2)(p &amp;lt; 0.05). The time to return to both full and part-time work was significantly shorter in total hip replacement patients with 1-week staging compared with delayed staging (22.0 vs 35.8 weeks (p = 0.02), and 13.8 vs 19.3 weeks (p = 0.03) respectively). &lt;/p&gt; &lt;p style="line-height:160%"&gt;Hip resurfacing patients in Group 2 had significantly shorter durations of postoperative pain and were able to return to part-time and full time work sooner than total hip arthroplasty patients. There was a general trend towards a faster recovery and resumption of normal activities following the second operation in Group 2 patients, compared with the first operation. &lt;/p&gt; &lt;p style="line-height:160%"&gt;Bilateral hip arthroplasty staged at a 1-week interval resulted in an earlier resolution of hip pain, and an earlier return to full-time work (particularly following total hip replacement surgery), with high levels of patient satisfaction and no increased risk in complications; however the hospital length of stay was significantly longer. The decision for the timing of staged bilateral surgery should be made in conjunction with the patient, making adjustments to accommodate their occupational needs and functional demands. &amp;nbsp; &amp;nbsp; &amp;nbsp;&amp;nbsp;&lt;/p&gt;&lt;/div&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Willis-Owen, C.A.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Oakeshott, G.D.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.ncbi.nlm.nih.gov/pubmed/21054889">http://www.ncbi.nlm.nih.gov/pubmed/21054889</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2990742/pdf/1749-799X-5-84.pdf">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2990742/pdf/1749-799X-5-84.pdf</a>
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        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Online 07/06/2022   07/06/2022 07/06/2022 UNKNOWN
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