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Bilateral hip arthroplasty : When is it safe to operate the second hip? A systematic review

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dc.creatorMuskus, Meilyn
dc.creatorRojas, Jorge
dc.creatorGutiérrez, Camilo
dc.creatorGuio, Juan
dc.creatorBonilla, Guillermo
dc.creatorLlinás, Adolfo
dc.creator.googleMuskus, Meilynspa
dc.creator.googleRojas, Jorgespa
dc.creator.googleGutiérrez, Camilospa
dc.creator.googleGuio, Juanspa
dc.creator.googleBonilla, Guillermospa
dc.creator.googleLlinás, Adolfospa
dc.date.accessioned2019-01-16T17:34:59Z
dc.date.available2019-01-16T17:34:59Z
dc.date.created2018
dc.date.issued2018
dc.description.abstractIntroduction. Patients with degenerative hip disease frequently present with bilateral involvement that requires surgical management. The main goal when treating these patients is to achieve the maximum efficiency without increasing risk of perioperative complications; therefore, the decision regarding the best moment to operate the second hip becomes relevant. Although studies have addressed this topic, whether a simultaneous or staged surgery should be performed remains controversial. The purpose of this study was to determine, based on available evidence, the optimum strategy in terms of safety to operate the second hip in patients with bilateral involvement. Materials and Methods. A meta-analysis was planned. A systematic review of the literature was performed including clinical trials or observational analytical studies comparing the safety of bilateral arthroplasty performed simultaneously or staged by measuring major and minor complications. The appropriateness of a meta-analysis was evaluated through the detailed analysis of the risk of bias and clinical heterogeneity of the included studies. Results. Thirteen studies were selected after the systematic review. A wide variability in the methodological designs was found with a critical risk of bias in most of them. Considerable heterogeneity was detected in defining staged surgery in the cointerventions and how the outcomes were defined and measured. In response to these findings, a meta-analysis was considered not appropriate. The results showed no differences in the risk of mortality or systemic complications in young and healthy patients between simultaneous or staged surgeries. However, increased risk of complications for staged surgeries performed during the same hospitalization was observed. Conclusions. Available evidence is very heterogeneous and the quality of evidence is low. The available evidence supports the performance of simultaneous hip arthroplasty in selected patients (not older than 65 years, ASA 1-2, without cardiovascular comorbidities) and suggests the avoidance of staged surgeries within the same hospitalization. © 2018 Meilyn Muskus et al.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1155/2018/3150349
dc.identifier.issnISSN 2314-6133
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18874
dc.language.isoengspa
dc.relation.citationTitleBioMed Research International
dc.relation.citationVolumeVol. 2018
dc.relation.ispartofBioMed Research International, ISSN:2314-6133, Vol. 2018 (2018)spa
dc.relation.urihttps://www.hindawi.com/journals/bmri/2018/3150349/spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.bibliographicCitationStavrakis, A.I., SooHoo, N.F., Lieberman, J.R., Bilateral Total Hip Arthroplasty has Similar Complication Rates to Unilateral Total Hip Arthroplasty (2015) The Journal of Arthroplasty, 30 (7), pp. 1211-1214spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectBilateral Hip Arthroplastyspa
dc.subjectBlood Transfusionspa
dc.subjectCardiovascular Diseasespa
dc.subjectClinical Evaluationspa
dc.subjectFollow Upspa
dc.subjectHip Arthroplastyspa
dc.subjectHip Diseasespa
dc.subjectHospitalizationspa
dc.subjectHumanspa
dc.subjectMeta Analysisspa
dc.subjectMortalityspa
dc.subjectOutcome Assessmentspa
dc.subjectPatient Safetyspa
dc.subjectPeroperative Complicationspa
dc.subjectReviewspa
dc.subjectSurgical Approachspa
dc.subjectSystematic Reviewspa
dc.subjectThromboembolismspa
dc.subjectClinical Trial (Topic)spa
dc.subjectHipspa
dc.subjectHip Replacementspa
dc.subjectPostoperative Complicationspa
dc.subjectProceduresspa
dc.subjectSurgeryspa
dc.subjectArthroplastyspa
dc.subjectClinical Trials As Topicspa
dc.subjectHipspa
dc.subjectHospitalizationspa
dc.subjectPostoperative Complicationsspa
dc.subject.keywordComorbidityspa
dc.subject.keywordRiskspa
dc.subject.keywordHumansspa
dc.subject.keywordRiskspa
dc.subject.lembArtoplastiaspa
dc.subject.lembTransfusión de sangrespa
dc.subject.lembAuditoría médicaspa
dc.titleBilateral hip arthroplasty : When is it safe to operate the second hip? A systematic reviewspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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