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首页> 外文期刊>BMC Musculoskeletal Disorders >Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head
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Surgical accuracy, function, and quality of life of simultaneous versus staged bilateral Total hip Arthroplasty in patients with Osteonecrosis of the femoral head

机译：股骨头坏死同时行双侧全髋置换术与分期双侧全髋置换术的手术准确性，功能和生活质量

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Background The optimal surgical option for patients requiring bilateral hip replacement remains controversial. The purpose of this study was to compare surgical accuracy; functional outcome and health-related quality of life; and prosthetic-related complications and revision surgery of a simultaneous bilateral total hip arthroplasty (THA) with those of a staged bilateral THA with an interval between procedures Methods A total of 123 unselected consecutive patients (mean age, 43.3?years) who underwent bilateral THAs for osteonecrosis of the femoral head (ONFH) with a minimum follow-up of two years (mean, 60.2?months) were studied retrospectively; 63 simultaneous procedures served as a test group and 60 staged procedures served as a control group. Results The mean postoperative leg-length discrepancy (LLD) and the percentage of patients who had an LLD >3?mm were significantly lower in the simultaneous group ( P P =?0.001, respectively). A higher number of cups within the safe zones, a higher correction rate, and a lower failure rate for the cup placement in the second-operated hip were also identified in the simultaneous group. The mean Harris hip score, EuroQol-5D index, and EuroQol-visual analogue scale score were all better in the simultaneous group at the latest follow-up ( P Conclusions We suggest that bilateral ONFH could be treated with a simultaneous THA rather than a staged THA to achieve a better surgical outcome.
机译：背景技术对于需要双侧髋关节置换术的患者的最佳手术选择仍然存在争议。这项研究的目的是比较手术的准确性。功能结果和与健康有关的生活质量;同时进行双侧全髋关节置换术（THA）和分阶段双侧THA的假体相关并发症和翻修手术，间隔时间间隔方法方法共有123例未选择的连续患者（平均年龄43.3岁）接受了双侧THA回顾性研究股骨头坏死（ONFH），至少随访两年（平均60.2个月）。 63个同时进行的程序作为测试组，60个分阶段进行的程序作为对照组。结果同期组的平均术后腿长差异（LLD）和LLD> 3？mm的患者百分比显着降低（分别为P P = 0.001）。同时组还发现在安全区域内有更多的杯子，较高的矫正率和更低的失败率。在最近的随访中，同时组中的平均Harris髋关节评分，EuroQol-5D指数和EuroQol-视觉类似物量表评分均更好（P结论我们建议可以同时进行THA治疗而不是分期进行双侧ONFH治疗THA可达到更好的手术效果。

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