Direct Anterior Versus Posterior Simultaneous Bilateral Total Hip Arthroplasties: No Major Differences at 90 Days

Chad D. Watts, Matthew T. Houdek, Cody C. Wyles, Rafael J. Sierra, Robert T. Trousdale, Michael J. Taunton

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We conducted a study to compare 90-day outcomes of patients who underwent simultaneous bilateral total hip arthroplasties (THAs) through the direct anterior (DA) approach (n = 19 patients) or the posterior approach (n = 21) over a 2-year period (2012-2014). Compared with patients in the posterior group, patients in the DA group had longer operative times (153 vs 106 min; P < .001) and longer anesthesia times (257 vs 221 min; P = .007) but were more likely to be discharged home (100.0% vs 71.4%; P = .02). DA THA was associated with a larger amount of intraoperative blood salvage (1.4 vs 0.5 unit; P = .003), but the groups had similar postoperative hemoglobin levels (10.6 vs 10.3 g/dL; P = .49) and allogenic blood transfusion rates (0% vs 14.3%; P = .23). Simultaneous bilateral THAs can be safely performed through either the DA approach or the posterior approach. Outcomes at 90 days are similar.

Original languageEnglish (US)
Pages (from-to)E373-E378
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume45
Issue number6
StatePublished - Oct 1 2016

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Arthroplasty
Hip
Operative Blood Salvage
Pyridinolcarbamate
Operative Time
Blood Transfusion
Hemoglobins
Anesthesia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Watts, C. D., Houdek, M. T., Wyles, C. C., Sierra, R. J., Trousdale, R. T., & Taunton, M. J. (2016). Direct Anterior Versus Posterior Simultaneous Bilateral Total Hip Arthroplasties: No Major Differences at 90 Days. American journal of orthopedics (Belle Mead, N.J.), 45(6), E373-E378.

Direct Anterior Versus Posterior Simultaneous Bilateral Total Hip Arthroplasties : No Major Differences at 90 Days. / Watts, Chad D.; Houdek, Matthew T.; Wyles, Cody C.; Sierra, Rafael J.; Trousdale, Robert T.; Taunton, Michael J.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 45, No. 6, 01.10.2016, p. E373-E378.

Research output: Contribution to journalArticle

Watts, CD, Houdek, MT, Wyles, CC, Sierra, RJ, Trousdale, RT & Taunton, MJ 2016, 'Direct Anterior Versus Posterior Simultaneous Bilateral Total Hip Arthroplasties: No Major Differences at 90 Days', American journal of orthopedics (Belle Mead, N.J.), vol. 45, no. 6, pp. E373-E378.
Watts, Chad D. ; Houdek, Matthew T. ; Wyles, Cody C. ; Sierra, Rafael J. ; Trousdale, Robert T. ; Taunton, Michael J. / Direct Anterior Versus Posterior Simultaneous Bilateral Total Hip Arthroplasties : No Major Differences at 90 Days. In: American journal of orthopedics (Belle Mead, N.J.). 2016 ; Vol. 45, No. 6. pp. E373-E378.
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